PERSONAL INFORMATION
(You may only sign up one sailor at a time)
*Student First Name:
*Student Last Name:
*Street Address:
*City:
*State:
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AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
*Zip Code:
Student's Email:
*Student's Birth Date:
*Parent 1 Name:
*Cell Phone 1:
*Parent Email:
*Home Phone 1:
Parent 2 Name:
Cell Phone 2:
Home Phone 2:
SESSION I - November 10, 2010 - January 14, 2011
CLASS INFORMATION (select your classes and chartering needs)
WEDNESDAY
THURSDAY
FRIDAY
Beginning & Intermediate Sabots ($100)
Singlehanded Sailing ($100)
Doublehanded Sailing ($100)
PLEASE SELECT OWN BOAT OR CHARTER BOAT BELOW
Sailing Own Sabot ($0)
Sailing Own Sabot/Laser ($0)
Sailing Own 29er ($0)
Chartering Sabot
from SDYC ($70)
Chartering Sabot
from SDYC ($70)
Chartering CFJ or C420
from SDYC ($70)
SESSION II - January 14 - March 11, 2011
CLASS INFORMATION (select your classes and chartering needs)
WEDNESDAY
THURSDAY
FRIDAY
Beginning & Intermediate Sabots ($115)
Singlehanded Sailing ($115)
Doublehanded Sailing ($115)
PLEASE SELECT OWN BOAT OR CHARTER BOAT BELOW
Sailing Own Sabot ($0)
Sailing Own Sabot/Laser ($0)
Sailing Own 29er ($0)
Chartering Sabot
from SDYC ($80)
Chartering Sabot
from SDYC ($80)
Chartering CFJ or C420
from SDYC ($80)
MEDICAL LIABILITY WAIVER
A Parent or Legal Guardian must Read and Agree to the Medical Liability Agreement and complete the following information:
Emergency Contact Name:
Daytime Phone:
Cell Phone:
Insurance Provider:
Medical Concerns / Known Allergies:
I HAVE CAREFULLY READ THE MEDICAL AND LIABILITY AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THE AGREEMENT INCLUDES A WAIVER OF LIABILITY, AN ASSUMPTION OF RISK, AND AN AGREEMENT BY ME TO INDEMNIFY THE RELEASEES, AND I AGREE TO IT OF MY OWN FREE WILL.
PAYMENT INFORMATION
Tuition Due:
SDYC Account #: