Register For

Fall 2018 Adult Learn-to-Sail Class

October 13 - 14, 2018

View this form in:

IF THE REGISTRANT IS A MINOR, AFTER FILLING OUT THIS FORM, PLEASE PRINT IT, HAVE IT SIGNED BY A PARENT OR GUARDIAN, AND BRING IT TO THE FIRST CLASS MEETING

 
Signature _____________________________________ 
Date _______________

Event Fees
Registrant Information

Fields marked with a * are required unless stated otherwise.

Registered using US SAILING Regatta Network before?

Enter your name and US SAILING Number below. Then click the 'Retrieve My Information' button to retrieve your contact information tied to your US SAILING number.

(mm/dd/yyyy)
Event Information

I expressly assume all risks associated with my participation in the Learn to Sail course and I hereby release Birmingham Sailing Club and any of its members, directors, board of governors, officers, agents, staff, instructors, volunteer helpers, employees or others acting on its behalf (collectively, the “Released Persons”) of and from all liability, claims, demands, causes of action and possible causes of action whatsoever, arising out of or related to any loss, damage or injury (including death) that may be sustained in connection with this course from any cause whatsoever including negligence of any of the Released Persons. 

 

I accept that the sport of sailing and the conduct of this course entail and are subject to certain inherent risks and assume all risks on land and on the water of participation in this program, including negligence of any of the Released Persons.

 

 I further agree to indemnify, defend and hold the Released Persons, the Learn to Sail program, US SAILING, and their representatives harmless for personal injuries and/or property damage caused by, due to, or arising from me or my or participation in the Learn to Sail course activities, or my use of the property and facilities of the Birmingham Sailing Club, regardless whether or not such loss, liability, damage, cost or expense results from the negligence or other action or inaction of any of the Released Persons with the sole exception of any actions or inactions of any of the respective Released Persons constituting wanton or willful misconduct. 

 

Medical Release

 

I do hereby authorize and consent to any x-ray examination, anesthetic, medical or surgical diagnosis or procedure rendered under the general or specific supervision of any member of the medical staff or of a dentist licensed under the provisions of the Education Law and/or Public Health Law of the State of Alabama and on the staff of any hospital holding a current operating certificate issued by the Department of Health of the State of Alabama. It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required but is given to provide authority and power to render care which the aforementioned physician in the exercise of his/her best judgment may deem advisable. It is understood that effort shall be made to contact the above people prior to rendering treatment to the patient, but that any of the above treatment will not be withheld if any of these people cannot be reached.

I agree to the above:

Registration Problems or Questions? Visit our Support Desk | View Our Privacy Policy
Powered by US SAILING Regatta Network® | Online Sailing Event Registration and Management Services.
© 2009 Regatta Network, Inc. All Rights Reserved. Regatta Network is a registered Trademark of Regatta Network Inc.
Powered by Regatta NetworkPowered by Regatta Network

Registration on Regatta Network collects your personal information, contact numbers and email address so that we may process your registration for this event and uses cookies to give you the best user experience possible. Please review our Privacy and Cookie Policy to see how we protect and manage your submitted data. Find out more