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IYC Youth Sailing Program Permission and Responsibility Waiver

I give permission for my child to participate in the IYC Youth Sailing Program and Recreation Program and to go on all Youth Sailing and Recreation excursions during the months of June, July, and August. I agree to indemnify and hold harmless the instructors and leaders of these programs, the Inverness Yacht Club and its Officers, Directors and Employees, and absolve them of any responsibility should an injury occur to my child, notwithstanding any fault or neglect of any of them. I further agree to be responsible for and promptly reimburse the IYC for any damage that may be done to IYC boats or facilities used by my child or children.

I further give permission for my child to receive medical treatment from any licensed physician in the event of an emergency.

I understand that acceptance of my child as a student in the Youth Sailing and Recreation Program of the Inverness Yacht Club is subject to:

[a] Space availability.
[b] The camper and a parent/guardian attending the first day of class.
[c] The demonstrated ability of the camper to pass a swimming qualification.
[d] The requirement that the camper must provide and wear a Coast Guard approved Type III life jacket.
[e] The requirement that the camper provide and wear a wet suit, a helmet and closed toed shoes.
[f] The camper following the direction of the Program Instructors and Staff.
[g] The understanding that drugs, alcohol or cigarettes brought on to the Club's property or to any Youth Sailing activity may result in dismissal.

THIS FORM MUST ACCOMPANY THE YOUTH SAILING REGISTRATION FORM

NOTE: Please complete one Waiver form for each sailor to be enrolled.

This form will not be considered fully signed until you reply to an email you will receive after you submit this form. Please be sure to reply to that email to formalize your electronic signature. 

Refund Policy: A full refund is granted if the camper withdraws from camp by March 1. There will be a $600 refund if the student withdraws by April 1 and a $300 refund if the student withdraws by April 15. There will be no refund if the student withdraws from camp after April 15. All students must be present on the first day of the session or the Youth Sailing Committee will consider whether to cancel their application without refund.

First Sailor's Name

First Name*

Last Name*
First Sailor's Date of Birth*
I certify that I am 18 years of age or older
First Sailor's Information

My child has the following allergies, medical or special learning conditions:
First Sailor's Signature*
Second Sailor's Name

First Name*

Last Name*
Second Sailor's Date of Birth*
Second Sailor's Information

My child has the following allergies, medical or special learning conditions:
Third Sailor's Name

First Name*

Last Name*
Third Sailor's Date of Birth*
Third Sailor's Information

My child has the following allergies, medical or special learning conditions:
Fourth Sailor's Name

First Name*

Last Name*
Fourth Sailor's Date of Birth*
Fourth Sailor's Information

My child has the following allergies, medical or special learning conditions:
Fifth Sailor's Name

First Name*

Last Name*
Fifth Sailor's Date of Birth*
Fifth Sailor's Information

My child has the following allergies, medical or special learning conditions:
Sixth Sailor's Name

First Name*

Last Name*
Sixth Sailor's Date of Birth*
Sixth Sailor's Information

My child has the following allergies, medical or special learning conditions:
Seventh Sailor's Name

First Name*

Last Name*
Seventh Sailor's Date of Birth*
Seventh Sailor's Information

My child has the following allergies, medical or special learning conditions:
Eighth Sailor's Name

First Name*

Last Name*
Eighth Sailor's Date of Birth*
Eighth Sailor's Information

My child has the following allergies, medical or special learning conditions:
Ninth Sailor's Name

First Name*

Last Name*
Ninth Sailor's Date of Birth*
Ninth Sailor's Information

My child has the following allergies, medical or special learning conditions:
Tenth Sailor's Name

First Name*

Last Name*
Tenth Sailor's Date of Birth*
Tenth Sailor's Information

My child has the following allergies, medical or special learning conditions:
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

My child has the following allergies, medical or special learning conditions:
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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