Premier Sailing School Adult Registration form 2021
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Email *
If this is a general inquiry rather than an actual registration please just email or call us first on 804 438 9300 with your questions, or email us at address on website
First Name *
Last Name *
Address Street *
Address City, State and Zip code *
Phone numbers *
Any sailing experience? *
Your reason for taking this course? *
How did you hear about us? *
Can you swim *
Course that you are registering for *
Required
Please state any medical information or emotional conditions that you think we should be aware of for your safety and to help our instructor to take care of you and the group. (this information will be shared only with your instructor) *
Emergency Contact - please give name and phone numbers for your emergency contact *
Waiver - Please read our Waiver below and in particular our questions and expectations regarding COVID 19 *
Required
Waiver Sailing instruction waiver and release of liability and assumption of risk agreement: The undersigned Premier Sailing School customer/guardian assumes and understands that sailing is a potentially hazardous sport; that grounding, accidental jibes, man overboards, and equipment failures occur from time to time without warning, and that variations in wind and sea conditions, water traffic, submerged obstructions, and other hazards to navigation exist. In using Premier Sailing School’s equipment or participating in sailing instruction or sailing events at Premier Sailing School, the undersigned recognizes and accepts such dangers, and assumes full responsibility for such risks, and holds Premier Sailing School and /or their officers, employees, assistants, or agents harmless against any and all bodily injury, and/or property damages resulting from such risks. The undersigned expressly acknowledges that the New Tides LLC., RRYC, ICYCC, and and related parties have no responsibility whatsoever for sailing school activities. The undersigned gives permission for photos taken during the course to be used by the school for publicity/marketing. COVID 19: I affirm that I, as well as all of those living with me do not currently have, nor have experienced the symptoms of fever, fatigue, dry cough, difficulty breathing within the last 14 days. I affirm that I, as well as all household members, have not been diagnosed with COVID-19 within the last 30 days. I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 within the last 14 days. I understand that Premier Sailing staff and director will not be held liable for any exposure to COVID-19 or any other contagion *
Required
A copy of your responses will be emailed to the address you provided.
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