Guilford Yacht Club ~ Junior Sailing Program  Child Information and Release 2021
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Email *
Childs Name *
Date of Birth *
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Weight *
Grade in Sept 2022 *
Address *
Parent Name *
Cell *
email *
work number *
Parent name *
cell number *
email *
work number *
Emergency Contact Name *
Phone Number *
Emergency Contact 2 *
Phone Number *
In the event I am unable to pick up my children this person has my permission to do so *
In the event I am unable to pick up my children this person has my permission to do so *
Session(s) I am interested in for my child *
Required
AM or PM session - PM sessions If your child is 12 or older or has sailed before and would be interested in more sailing independence, afternoon sessions are best *
Required
EXTENDING THE DAY -  I would be interested in having my child supervised at on site at GYC between 12 and 1 PM. Before, after or between sessions. $10 per day per child. Details to follow. *
Required
In consideration of the Guilford Yacht Club Junior Sailing Program allowing my child to participate in its programs, I, on behalf of myself and my child, hereby release the Guilford Yacht Club and its respective officers, directors and members, any volunteers, parents of other children, and other participants from any claims or causes of action that may arise as a result of my child’s participation. This includes demands with respect to death, injury, loss or damage to my child or my property arising out of my child taking part in this program.                                                                             I acknowledge that by participating in this course my child may be subjected to risk of injury. My child’s activities may include maneuvering a boat or other watercraft in deep waters and in potentially hazardous conditions which could include, among other risks, cold water temperatures with exposure to hypothermia, strong winds and high waves, sudden and unexpected immersion in deep waters as well as collision with other watercraft or stationary objects such as rocks, docks, pilings and buoys. In the event my child or other family member or anyone on behalf of my child should attempt to pursue any claim against any of the released parties, I hereby agree to hold harmless and to indemnify such parties from any and all claims that may be brought against them including actual attorney's fees or costs that may be incurred in defending such claims.                                                                                I also understand that sailing is photogenic and that the instructors, GYC members, or members of the general public may take photographs or video of my child during the program. Those taken by instructors or other Junior Sailing Program personnel may be displayed at the Guilford Yacht Club, on the GYC or Junior Sailing websites or other social media or in GYC Junior Sailing Program materials. *
Name of Parent *
Signature of Parent *
Date *
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