SBYSF 2015 Summer Sailing Program Registration Information Sailor’s name: _______________________________________ Age: _______ Birthday: ____________ Grade next fall: ________ School: ____________________________________________ Parent /Guardian _______ Cell: Parent /Guardian _______ Cell: Mailing Address: _____________________________________________________________________ City, State, ZIP: ______________________________________________________________________ Email 1: ________________________________ Email 2: ____________________________________ In the event of an emergency, we will make every effort to contact a parent or guardian at the phone numbers you have listed above. In case we are unable to reach you, please provide alternative emergency contacts (neighbors, friends, relatives, etc.). 1st Emergency Contact Name: _____________________________ Relationship: __________________ Phone 1: _______________________________ Phone 2: _____________________________________ 1st Emergency Contact Name: _____________________________ Relationship: __________________ Phone 1: _______________________________ Phone 2: _____________________________________ How did you find out about the program? __________________________________________________ Class (please check one) [ ] Novice Optimist Mornings [ ] Opti Racing I Afternoons [ ] Opti Racing II Afternoons [ ] Novice FJ Mornings [ ] Teen Racing Afternoons $375 $375 $375 $375 $375 Session (please check one or more) [ ] Session #1 (June 15-June 26) [ ] Session #2 (June 29-July 10) [ ] Session #3 (July 13-July 24) [ ] Session #4 (July 27-August 7) [ ] Session #5 (August 10-August 21) Sign up for all ten weeks (5 Sessions) for a discounted rate of $1125. Tuition/Fee Total: $____________________ Total Amount Enclosed: $____________________ Full and partial scholarships are available, please see our website for more information. Scholarships forms due 2 weeks prior to session start date. Please remit completed forms and payment to: SBYSF Summer Sailing, 130 Harbor Way, Santa Barbara, CA, 93109 Please see the Program Information page for more detailed program descriptions, and email with any questions: sbysfheadcoach@gmail.com 1 SBYSF, 130 Harbor Way, Santa Barbara, CA, 93109 | sbysfheadcoach@gmail.com | www.sbysf.com SBYSF 2015 Summer Sailing Program Voluntary Release and Indemnity 1. Voluntary Participation. I, _______________________(sailor), acknowledge that I have voluntarily applied to participate in sailing instruction and related activities offered by the SANTA BARBARA YOUTH SAILING FOUNDATION (the "Foundation"). Some of the activities may take place at the facilities of the Santa Barbara Yacht Club (the "Yacht Club"). 2. Assumption of Risk. I UNDERSTAND THAT SAILING IS A HAZARDOUS ACTIVITY AND THAT THERE IS INHERENT DANGER TO ME, MY BOAT AND MY EQUIPMENT INVOLVED IN THAT ACTIVITY. I AM FAMILIAR WITH THE AREA WHERE THE SAILING, INSTRUCTION AND OTHER ACTIVITIES WILL BE CONDUCTED. I AM VOLUNTARILY PARTICIPATING IN THIS ACTIVITY WITH KNOWLEDGE OF THE DANGER INVOLVED. I HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF DAMAGES, INJURY OR DEATH, AND VERIFY THIS STATEMENT BY PLACING MY INITIALS HERE: Sailor Initials: Parents' Initials: 3. Release. Discharge and Covenant Not to Sue. As consideration for being permitted by Foundation to participate in its activities and to use the facilities of the Foundation and the Yacht Club I, on behalf of myself and my heirs, executors, administrators and assigns, hereby release Foundation, Yacht Club, their respective affiliates, employees and agents, and any owner or provider of facilities at which or with which such instruction is conducted (all referred to as "releases") from any and all actions, claims, demands and liability now or at any time hereafter arising out of my participation in sailing, instruction or other activities or my presence at the facilities of the Foundation or the Yacht Club. I hereby agree that I, my heirs, executors, administrators and assigns, will not make a claim against, sue or attach the property of any of the releases for any injury, death, damages or property damage (including any injury to my boat) resulting from or arising out of any acts or omissions of releases, including without limitation any negligence, of releases, or act of any acts or omissions of other participants in the activity. 4. Indemnity Agreement. I further agree that I will defend, indemnify and hold harmless the Foundation, the Yacht Club, and their respective affiliates, employees and agents, against all actions, claims, demands and liabilities (including court costs and attorneys* fees) related to any injury, death, damages or property damage resulting from or arising out of my participation in sailing, training or other activities or my presence at the facilities of the Foundation or the Yacht Club. 5. We, ______________________ and _______________________, are the parents or legal guardian(s) of _________________________. We confirm that we have read the foregoing Voluntary Release and Indemnity and understand its contents. We confirm that we have the legal right and power to agree to the provisions of the Voluntary Waiver and Release on behalf of our child. We understand that it is a release of all claims. We assume all risks related to our child's participation in the sailing, instruction 2 SBYSF, 130 Harbor Way, Santa Barbara, CA, 93109 | sbysfheadcoach@gmail.com | www.sbysf.com SBYSF 2015 Summer Sailing Program and other activities. We expressly agree that the terms and conditions of the Voluntary Release and Indemnity shall apply to and be binding upon us and our minor child in all respects insofar as it pertains to his or her participation and to any injury, death, damages or property damage our child or his or her boat may sustain or cause as a result of such participation. We hereby authorize the Foundation and its employees and agents to initiate emergency first aid treatment for our child in the event of an accident. We also hereby authorize any and all necessary emergency medical treatment by professional medical personnel in such event. We warrant that we have health and accident insurance covering our child. WE HAVE CAREFULLY READ THIS VOLUNTARY RELEASE OF LIABILITY AND FULLY UNDERSTAND ITS CONTENTS. I UNDERSTAND THAT IT IS A RELEASE OF ALL CLAIMS. I ASSUME ALL RISKS RELATED TO MY PARTICIPATION IN THE TRAINING. Sailor Print: ____________________ Sign: _________________ Date: ______ Parent /Guardian Print: ____________________ Sign: _________________ Date: ______ Parent /Guardian Print: ____________________ Sign: _________________ Date: ______ PHOTO RELEASE I hereby grant Santa Barbara Youth Sailing Foundation, and those acting with their authority, permission and the absolute right to re-use, publish and re-publish photographic portraits or pictures of me or in which I may be included, in whole or in part, without restriction as to changes or alterations from time to time in conjunction with my name, or reproductions thereof, in color or otherwise, made through any medium, for illustration promotion, art, advertising, trade, or any other purpose whatsoever. I also consent to use of printed matter in conjunction therewith. Parent /Guardian Print: ____________________ Sign: _________________ Date: ______ 3 SBYSF, 130 Harbor Way, Santa Barbara, CA, 93109 | sbysfheadcoach@gmail.com | www.sbysf.com SBYSF 2015 Summer Sailing Program Medical Information Child’s Name: _________________________________________________ Parent Name: _________________________________________________ Doctor: ______________________________ Phone: _______________ Date of last exam: _________ Health Insurance Carrier: __________________________ ID Number: ____________________ Please assist the Santa Barbara Youth Sailing Foundation to better serve your child by filling out a brief medical history. Has your child ever had: Diabetes: __ Yes __ No Seizures: __ Yes __ No Asthma: __ Yes __ No Bees/insect: __ Yes __ No Food: __ Yes __ No Medication: __ Yes __ No Is your child allergic to: Other (please list and explain): ____________________________________________________________________________________ ____________________________________________________________________________________ If there is anything else we should know, please explain here: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ If my child suffers serious injury or illness, I authorize and consent for first aid or necessary medical procedures to be rendered by license or certified persons. If neither my alternate nor I can be reached by phone, please call the doctor listed and/or transport my child to any available medical facility. I am aware that in most situations the physical/medical facility will not treat a minor child without parent permission. I understand the Santa Barbara Youth Sailing Foundation assumes no financial responsibility for transportation or medical care. Parent /Guardian Print: ____________________ Sign: _________________ Date: ______ 4 SBYSF, 130 Harbor Way, Santa Barbara, CA, 93109 | sbysfheadcoach@gmail.com | www.sbysf.com SBYSF 2015 Summer Sailing Program SBYSF Summer Sailing Program Overviews Ages 8-13 12-18 Morning Session Afternoon Session (9:00 – 12:00) Novice Optimist Sailing (1:00 – 4:30) Optimist Racing I Classes are held in one-person, 8’ Optimist dinghies. Sailors will learn basic sailing and seamanship skills, with an emphasis on safety and having fun on the water. Sailors will learn intermediate and advanced boat handling techniques, as well as racing strategies and tactics. Novice FJ Sailing Teen Racing (FJ Racing) This class is an introduction to sailing for teenagers who have limited to no sailing experience. Classes are held in two-person 14’ Flying Junior (FJ) dinghies. Sailors will learn beginning to intermediate sailing and seamanship skills that prepare them to participate in FJ racing. Sailors will learn intermediate and advanced boat handling techniques, including sailing with a spinnaker sail. Teen Racing sailors are encouraged to attend regional regattas during the summer as schedules permit. Optimist Racing II Sailors in this group must be recommended by their Opti Racing I coach to join the Opti Racing II program. All sailors MUST complete a swim test on the first day of the session The test is generally the hardest part of camp, at least for sailors who happen to start on a cold, foggy morning! In reality, the test is not very difficult—we look at it more as a way to measure comfort level in the water, rather than pure swimming ability. The test consists of swimming from the beach to an anchored safety boat, donning a lifejacket in the water, and then swimming back to shore with the lifejacket on. The distance from shore to the boat is only about 20-25 yards. Sailors who are unable to complete the swim test will not be allowed to continue in the program. All sailors must wear a Lifejackets on the dock at all times Lifejackets (PFDs) are to be worn at all times while on the dock or on the boats, so it is important to choose a comfortable PFD that fits your sailor properly. We have some lifejackets to loan, but we are limited in supply, please let us know if you will need to borrow a lifejacket. SBYSF Race Team The SBYSF supports a highly successful Race Team—members typically sail year-round, competing in regional, national and international events as well as on our local High School sailing teams. Admission to the Race Team is by application only. Successful applicants have usually sailed with us for a few summers, and have demonstrated a strong interest in competing at a high level. Please see the Jr. Program Director for more details. 5 SBYSF, 130 Harbor Way, Santa Barbara, CA, 93109 | sbysfheadcoach@gmail.com | www.sbysf.com
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