Premier Sailing School Adult Registration form 2019
Email address *
First Name *
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Last Name *
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Full mailing address *
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phone numbers *
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Can you swim? *
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) *
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Any previous sailing experience? *
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Your reasons for taking this course
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How did you hear about us? *
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Course that you are registering for: *
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Dates requested for your course - you can give several date options in order of preference *
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Emergency Contact - please give name and phone numbers for your emergency contact *
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Waiver
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. *
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By clicking "submit" you are electronically signing for this camper and agreeing to all waivers mentioned above. *
A copy of your responses will be emailed to the address you provided.
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