2023 WINTER/SPRING SEMESTER Registration
Fill out the form to secure your space & dates. *If you register 2 or more family members OR for multiple sessions, the session price is $150.00.
Sign in to Google to save your progress. Learn more
Sessions are Friday's or Saturday's 8:30 AM-12:00 PM. Your sailor will need a  hat, sunscreen, sunglasses, longsleeve rashguard, refillable water bottle, snacks, towel, change of clothes, flip flops, snorkel gear or goggles.  Payments will be accepted at the start of the semester. Cash, check, ATH Mobile, Venmo are preferred. If you would like to pay with credit card, a 5% service fee will be added to the total. Thank you! *
Required
SEMESTER SESSION DATES & PRICING *
Required
Sailor's First & Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Age of Sailor *
Medical Concerns *
Known Allergies *
Current Medications *
Mother's First & Last Name *
Mother's Phone Number *
Mother's Email Address *
Father's First & Last Name *
Father's Phone Number *
Father's Email Address *
Emergency Contact Name and Phone #1 *
Emergency Contact Name and Phone #2 *
STAY HOME IF YOUR SAILOR IS FEELING ILL OR HAS BEEN IN CONTACT WITH SOMEONE with chills, congestion, runny nose, cough, diarrhea, difficulty breathing, fatigue, fever, headache, muscle pain, nausea or vomiting, new loss of smell, new loss of taste, chills, shortness of breath, sore throat, or something similar. Return to sailing sessions when your health or the person you have been in contact with has returned to health.      *
Required
Waiver of Liability, Assumption of Risk, Indemnity Agreement, Photography Authorization: WAIVERS WAIVER OF LIABILITY: I waive and release any right I, my heirs, distributees, guardians, legal representatives and assigns may have of acquire to make a claim against, sue, attach the property of or prosecute any Rincon Sailing or any of its employees and affiliated organizations (herein referred to as "the releasees") for monetary damages caused by injury to my child of damage to the property of my child or myself arising from my child’s participation in the activities and use of the facilities and property of Rincon Sailing, including the use of photographs and the name of my child involving such activities and use, whether or not the injury or damage results from the negligence or other action, except intentional acts, of the releasees. ASSUMPTlON OF RISK: I am aware that the activities may involve maneuvering a boat, sailboard or other watercraft on deep waters in potentially hazardous conditions which may include, among other things, strong winds and high waves, sudden and unexpected immersion in deep waters and collision with other watercraft of stationary objects such as docks, pilings, and buoys. With knowledge of the dangers involved, I voluntarily ask that my child be allowed to take part in the activities. I accept any and all risks to myself and my child of injury, death and property damage arising from participation in the activities and the use of the facilities and property of Rincon Sailing, whether or not caused by the negligence or other action, except intentional acts, of any of the releasees. INDEMNITY AGREEMENT: I agree to indemnify and hold the releasees harmless from any loss, liability, damage or cost, including reasonable attorneys fees, that may incur due to my child’s participation in the activities and use whether or not such loss, liability, damage or cost results from the negligence or other action, except intentional acts, of any of the releasees. PHOTOGRAPHY AUTHORIZATION: I give permission for photographic images of my son/daughter to be taken while he/she is participating in Rincon Sailing programs and for these images to be placed on the www.RinconSailing.com website. I understand that these images can be accessed and downloaded at the conclusion of his/her program and that they may also be used in Sailing School promotional materials such as pamphlets and displays. *
Required
AUTHORIZATION TO CONSENT TO TREATMENT OF A MINOR The undersigned parents or legal guardians (hereafter referred to in the singular) of (herein referred to as the "child") request that the child be allowed to participate at any Rincon Sailing activity (herein referred to as "the activities"). This agreement shall remain in effect until the Rincon Sailing receives written notice of the cancellation of the consent or until the end of the activities described above. In return for the child being permitted to take part in the activities and to use the facilities and property of Rincon Sailing each of us makes the following promises and warrants the truth of the following facts: The undersigned parent or guardian of a minor, does hereby consent to any emergency x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by, and is to be rendered under the general or special supervision of any physician and surgeon licensed under the provision of the Medical Practice Act. 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 on the part of our aforesaid agent(s) to give specific consent to any and all such diagnosis, treatment, or hospital care which the aforementioned physician in the exercise of his best judgment may deem advisable; and neither said agent or any organization involved assumes any financial responsibility for exercising this action. I am familiar with the programs included in the activities, and I understand employees of Rincon Sailing are available to discuss the activities if I should wish additional information. I also understand I am solely responsible for the arrival and departure of my child at the beginning and end of each day’s activity. I will not allow my child to remain on the premises of Rincon Sailing after each day’s program without appropriate supervision. I agree Rincon Sailing will have no responsibility for the supervision of my child at times other than during the scheduled activities. I will inform my child that he/she is expected to cooperate with, and follow the directions of, the persons in charge of the activities and to act in a manner consistent with the spirit of good sportsmanship and respect for the rights of others. My child is in good health, and I know of no reason why he/she would be incapable of participating in the activities, My child knows how to swim. I will immediately notify the designated Rincon Sailing supervisor, if a change in my child’s health of other condition would affect my child’s ability to participate in the activities. *
Required
Parent or Guardian's Printed Name *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy