ROC City Sailing On-Line Registration Form
ROC City Sailing Inc.
2050 Bay Shore Boulevard, Rochester NY 14622
Contact us at (585) 210-3225 or info@roccitysailing.org

Please complete and submit one form per participant.  Roc City Sailing will follow up to make final arrangements.
Sign in to Google to save your progress. Learn more
Email *
First Name of Participant *
Last Name of Participant *
Birth Date of Participant *
MM
/
DD
/
YYYY
Name of Parent / Guardian if Participant is under 18 years of age
Home Mailing Address *
Phone Number *
Emergency Contact Name, Phone Number and relationship to Participant *
Is the Participant an age 8 to 17 student of a Rochester City District School? *
What is the participant's level of sailing experience? *
What is the participant's level of swimming experience? *
What class(es) are you registering for? *
Required
If you are purchasing a GIFT CERTIFICATE what name(s) do you want on the certificate?
LIABILITY WAIVER:  In consideration of being allowed to participate in the Roc City Sailing (RCS) activities, events, and services, I, the undersigned, acknowledge, appreciate, and agree via the checkboxes below that: *
Required
PHOTO / VIDEO RELEASE *
HEALTH AND SAFETY PRE-SCREENING FORM [use this link for a copy of the form] ... https://roccitysailing.org/wp-content/uploads/2021/04/RCS_Health-Safety_Pre-ScreeningForm_2apr2021.pdf *
Please confirm which method you used to complete payment [please go to the RCS Website  "Pay for Lessons" page to complete payment] ... https://roccitysailing.org/pay-for-lessons/ *
How did you find out about ROC City Sailing? *
Any comments or questions you want to add?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy