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Register For
SUMMER CAMP 2017
@  San Juan Bay Marina, PR

May 22 - August 4, 2017
 
View this form in:
Event Fees

Select the events you would like to attend:
July 24-28 PM half day (1 week) - $200.00


Registrant Information

Items marked with a * are required unless stated otherwise.
First Name*:
Last Name*:
ZIP/Postal Code*:
Address*:
City*:
State/Province*:
Country*:
Phone Number*:
Cell Phone Number:
  Allow text messages from event organizer
Email Address*:
Email Address Confirm*:
School Name*:
Birthdate*:
Sex:
Weight:
Lbs.
Parent/Guardian Name*:
Parent/Guardian Cell Phone*:
Parent/Guardian Email*:
   
   
Emergency Contact Name*:
Emergency Contact Relationship*:
Emergency Contact Phone*:
   
List Any Medical Conditions*:
List Any Medications Taken*:
List Any Allergies or
Special Dietary Requirements*:
Event Information
   
   

APPLICATION AND RELEASE FORM


I hereby request permission to enter the site and facilities of Y Sailing, LLC, located in San Juan, Puerto Rico for the purpose of participating in the Navigation Course and/or tour. I also request permission to participate in sailing activities in or around Y Sailing, LLC. I am familiar with the rules and regulations established at Y Sailing, LLC, and I also know that there are hazards and risks in the use of such facilities and in the participation of such activities. I also know that unanticipated and unexpected dangers might arise as I carry on such use and participation.

I assume the inherent risks related to this sport and I acknowledge that there are risks related to this sport. In return for granting the above permission, I, in my own right and on behalf of my heirs, legal successors and other personal representatives, assume all risks of harm that may occur to me, directly or indirectly, and also all damages and losses in my participation in such activities; And I hereby release Y Sailing, LLC, its officers, directors and their respective employees or agents, from all claims, demands and liabilities of any kind and nature, for damages or losses suffered by me or my property, eventhough of my fault or of the person causing the damage.

I acknowledge and certify that the use of such facilities and my participation in such activities is entirely voluntary, and that I am in no way or in any way an employee, servant or agent of Y Sailing LLC.

If I am under 18 years of age, I hereby represent and certify that I have permission from my parents or guardian to use such facilities and participate in such activities and that they (or the guardian) are aware of such activities and of the content of this Application and Release. If an accident happens, I consent to take me to Ashford Memorial Hospital.

I authorize Y Sailing, LLC to use activity pictures for any promotion.

I have read and understood the above.

I agree to the above:
 

 
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