RYC 29er SAILING SCHOOL 2011/2012

Dear Parents and 29er Sailors, Welcome to the 2011/2012 29er Sailing School at the Richmond Yacht Club. We look forward to meeting each of you on October 8th. For those of you planning to participate in more than one class, you may use this form to sign up for the 29er program and either the Laser or the High School program (this year we are not offering the option to participate in both the Laser and the High School programs). The 29er program runs from October 8th until May 26th. Please add a $50 late fee to applications received at the RYC after September 30th. Please complete a separate application form for each program participant. Please attach a separate check for each program participant. HELPFUL HINTS Before starting the on-line registration process, please have the following available: Doctors Name, phone number and area code Medical insurance company name and policy number Date of last tetanus shot (if any) Emergency contact information (two emergency contacts required) Check book (you will be asked to input the check numbers/amounts) A printer (you have to print and sign this form prior to submitting it) PRINTING AND SUBMITTING THIS FORM When you get to the end of this form, please PRINT the form PRIOR to hitting the submit button. Once the form has been printed, parents/guardians please sign the form (if the participant is under the age of 18) and also have the participant sign the form. Please attach the check to the form and mail the form and the check to: 29er Sailing School Richmond Yacht Club P.O. BOX 70295 Point Richmond, CA 94807 If you have any questions about the program or completing the forms, please contact Dan Brandt dan.higherfastervmg@gmail.com.
* Required


I acknowledge that sailing and its related activities carry various risks of property damage, injury and even death. In return for permitting me to participate in the Richmond Yacht Club Junior Sailing Program (hereinafter referred to as "the event"), I, on behalf of myself and anyone else who might or could make a claim if I am injured or killed or my property is damaged, DO HEREWITH VOLUNTARILY ASSUME ANY AND ALL RISKS OF ALL SUCH ACTIVITIES. BY THIS DOCUMENT, I EXPRESSLY INTEND TO AND DO HEREWITH WAIVE IN ADVANCE, AND DO HEREWITH RELIEVE AND RELEASE ALL THOSE PERSONS AND ENTITIES INVOLVED IN ANY WAY IN PUTTING ON THE EVENT (including but not limited to the event sponsors, the event committee, the Richmond Yacht Club, their officers, directors, members, volunteers, employees, servants, agents, contractors, subcontractors, heirs, next of kin, successors, or assigns, all hereinafter collectively referred to as “Hosts”) FROM, ANY AND ALL LIABILITY FOR PERSONAL INJURY, DEATH, AND/OR DAMAGE TO PROPERTY, ARISING OUT OF OR IN ANY WAY CONNECTED TO MY PARTICIPATION IN THE EVENT AND/OR ANY RELATED ACTIVITIES, prior to, during, or after the event, whether on or off the water, EVEN IF SUCH INJURY, DEATH, AND/OR DAMAGE IS CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OR OTHER FAULT OF SUCH PERSONS OR ENTITIES, BY THE DANGEROUS OR DEFECTIVE CONDITION OF ANY PROPERTY, PREMISES (including but not limited to the Club, docks, ramps, floats, etc.) OR EQUIPMENT OWNED OR MAINTAINED OR CONTROLLED BY THEM, AND/OR BECAUSE OF THEIR LIABILITY WITHOUT FAULT. I agree that the jurisdiction and venue for any dispute will be Contra Costa County, California, and that California law will govern any arbitration or litigation. If any provision of this Waiver and Release is determined to be illegal, unenforceable, or otherwise invalid for any reason, such provision will be deemed to be severed and deleted. Neither such provision nor its severance and deletion shall in any way affect the validity of the remaining provisions. I have read this agreement and fully understand its contents. I am aware that this is a release of liability and a waiver of all claims, and I sign of my own free will. MEDICAL EMERGENCY: In case of an emergency due to illness or accident, when the RYC cannot contact Parent/Guardian or Emergency Contact(s), the RYC authorities have our permission to use their best judgment in the interest of our child’s health. It is understood that the effort shall be made to contact the undersigned prior to rendering treatment to the patient, but that the treatment will not be withheld if the undersigned cannot be reached. I/We understand that the RYC does not provide accident medical insurance for the program participants. I/We further understand that all costs related to medical treatment shall be my/our responsibility and not the RYC responsibility. I/We further understand that the RYC may release any medical information to the medical providers.


A signed hard copy of this complete form must accompany your check. Do not submit this form unless it has been printed. Once the form is submitted, you cannot retrieve it in this format again. You will have to fill out the form again unless you have printed and signed this form.

Never submit passwords through Google Forms.