Loading...

Inverness Yacht Club Check Out Program Participation Waiver. Please initial all of the sections, indicating your agreement.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Agreement
Initial all of the sections, indicating your agreement: *
I am aware that sailing is a potentially dangerous and physically demanding activity, and I agree to waive any responsibility on the part of the Inverness Yacht Club, its members, and instructors in the Adult Sailing Program for any injuries to me that might result from my participation in the Program.
I have received a copy of the rules for use of the Club boats. I have reviewed the rules, I understand them and agree to abide by them. Inverness Yacht Club Adult Sailing Checkout Program Application for Checkout Program Participation in Flying Scots (cont.)
I certify that if I should fall out of an IYC boat into Tomales Bay, and for some reason cannot get back to the boat, I can swim to shore.
After each use of an IYC boat, I agree to make an entry in the Adult Sailing log in the Boat House, as described in the rules for using the Club boats.
If I damage any parts of an IYC boat during my use of it, I agree to be present during the repair of the boat and assist in the repair however I can.
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Agreement
Initial all of the sections, indicating your agreement: *
I am aware that sailing is a potentially dangerous and physically demanding activity, and I agree to waive any responsibility on the part of the Inverness Yacht Club, its members, and instructors in the Adult Sailing Program for any injuries to me that might result from my participation in the Program.
I have received a copy of the rules for use of the Club boats. I have reviewed the rules, I understand them and agree to abide by them. Inverness Yacht Club Adult Sailing Checkout Program Application for Checkout Program Participation in Flying Scots (cont.)
I certify that if I should fall out of an IYC boat into Tomales Bay, and for some reason cannot get back to the boat, I can swim to shore.
After each use of an IYC boat, I agree to make an entry in the Adult Sailing log in the Boat House, as described in the rules for using the Club boats.
If I damage any parts of an IYC boat during my use of it, I agree to be present during the repair of the boat and assist in the repair however I can.
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Agreement
Initial all of the sections, indicating your agreement: *
I am aware that sailing is a potentially dangerous and physically demanding activity, and I agree to waive any responsibility on the part of the Inverness Yacht Club, its members, and instructors in the Adult Sailing Program for any injuries to me that might result from my participation in the Program.
I have received a copy of the rules for use of the Club boats. I have reviewed the rules, I understand them and agree to abide by them. Inverness Yacht Club Adult Sailing Checkout Program Application for Checkout Program Participation in Flying Scots (cont.)
I certify that if I should fall out of an IYC boat into Tomales Bay, and for some reason cannot get back to the boat, I can swim to shore.
After each use of an IYC boat, I agree to make an entry in the Adult Sailing log in the Boat House, as described in the rules for using the Club boats.
If I damage any parts of an IYC boat during my use of it, I agree to be present during the repair of the boat and assist in the repair however I can.
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Agreement
Initial all of the sections, indicating your agreement: *
I am aware that sailing is a potentially dangerous and physically demanding activity, and I agree to waive any responsibility on the part of the Inverness Yacht Club, its members, and instructors in the Adult Sailing Program for any injuries to me that might result from my participation in the Program.
I have received a copy of the rules for use of the Club boats. I have reviewed the rules, I understand them and agree to abide by them. Inverness Yacht Club Adult Sailing Checkout Program Application for Checkout Program Participation in Flying Scots (cont.)
I certify that if I should fall out of an IYC boat into Tomales Bay, and for some reason cannot get back to the boat, I can swim to shore.
After each use of an IYC boat, I agree to make an entry in the Adult Sailing log in the Boat House, as described in the rules for using the Club boats.
If I damage any parts of an IYC boat during my use of it, I agree to be present during the repair of the boat and assist in the repair however I can.
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Agreement
Initial all of the sections, indicating your agreement: *
I am aware that sailing is a potentially dangerous and physically demanding activity, and I agree to waive any responsibility on the part of the Inverness Yacht Club, its members, and instructors in the Adult Sailing Program for any injuries to me that might result from my participation in the Program.
I have received a copy of the rules for use of the Club boats. I have reviewed the rules, I understand them and agree to abide by them. Inverness Yacht Club Adult Sailing Checkout Program Application for Checkout Program Participation in Flying Scots (cont.)
I certify that if I should fall out of an IYC boat into Tomales Bay, and for some reason cannot get back to the boat, I can swim to shore.
After each use of an IYC boat, I agree to make an entry in the Adult Sailing log in the Boat House, as described in the rules for using the Club boats.
If I damage any parts of an IYC boat during my use of it, I agree to be present during the repair of the boat and assist in the repair however I can.
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Agreement
Initial all of the sections, indicating your agreement: *
I am aware that sailing is a potentially dangerous and physically demanding activity, and I agree to waive any responsibility on the part of the Inverness Yacht Club, its members, and instructors in the Adult Sailing Program for any injuries to me that might result from my participation in the Program.
I have received a copy of the rules for use of the Club boats. I have reviewed the rules, I understand them and agree to abide by them. Inverness Yacht Club Adult Sailing Checkout Program Application for Checkout Program Participation in Flying Scots (cont.)
I certify that if I should fall out of an IYC boat into Tomales Bay, and for some reason cannot get back to the boat, I can swim to shore.
After each use of an IYC boat, I agree to make an entry in the Adult Sailing log in the Boat House, as described in the rules for using the Club boats.
If I damage any parts of an IYC boat during my use of it, I agree to be present during the repair of the boat and assist in the repair however I can.
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Agreement
Initial all of the sections, indicating your agreement: *
I am aware that sailing is a potentially dangerous and physically demanding activity, and I agree to waive any responsibility on the part of the Inverness Yacht Club, its members, and instructors in the Adult Sailing Program for any injuries to me that might result from my participation in the Program.
I have received a copy of the rules for use of the Club boats. I have reviewed the rules, I understand them and agree to abide by them. Inverness Yacht Club Adult Sailing Checkout Program Application for Checkout Program Participation in Flying Scots (cont.)
I certify that if I should fall out of an IYC boat into Tomales Bay, and for some reason cannot get back to the boat, I can swim to shore.
After each use of an IYC boat, I agree to make an entry in the Adult Sailing log in the Boat House, as described in the rules for using the Club boats.
If I damage any parts of an IYC boat during my use of it, I agree to be present during the repair of the boat and assist in the repair however I can.
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Agreement
Initial all of the sections, indicating your agreement: *
I am aware that sailing is a potentially dangerous and physically demanding activity, and I agree to waive any responsibility on the part of the Inverness Yacht Club, its members, and instructors in the Adult Sailing Program for any injuries to me that might result from my participation in the Program.
I have received a copy of the rules for use of the Club boats. I have reviewed the rules, I understand them and agree to abide by them. Inverness Yacht Club Adult Sailing Checkout Program Application for Checkout Program Participation in Flying Scots (cont.)
I certify that if I should fall out of an IYC boat into Tomales Bay, and for some reason cannot get back to the boat, I can swim to shore.
After each use of an IYC boat, I agree to make an entry in the Adult Sailing log in the Boat House, as described in the rules for using the Club boats.
If I damage any parts of an IYC boat during my use of it, I agree to be present during the repair of the boat and assist in the repair however I can.
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Agreement
Initial all of the sections, indicating your agreement: *
I am aware that sailing is a potentially dangerous and physically demanding activity, and I agree to waive any responsibility on the part of the Inverness Yacht Club, its members, and instructors in the Adult Sailing Program for any injuries to me that might result from my participation in the Program.
I have received a copy of the rules for use of the Club boats. I have reviewed the rules, I understand them and agree to abide by them. Inverness Yacht Club Adult Sailing Checkout Program Application for Checkout Program Participation in Flying Scots (cont.)
I certify that if I should fall out of an IYC boat into Tomales Bay, and for some reason cannot get back to the boat, I can swim to shore.
After each use of an IYC boat, I agree to make an entry in the Adult Sailing log in the Boat House, as described in the rules for using the Club boats.
If I damage any parts of an IYC boat during my use of it, I agree to be present during the repair of the boat and assist in the repair however I can.
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Agreement
Initial all of the sections, indicating your agreement: *
I am aware that sailing is a potentially dangerous and physically demanding activity, and I agree to waive any responsibility on the part of the Inverness Yacht Club, its members, and instructors in the Adult Sailing Program for any injuries to me that might result from my participation in the Program.
I have received a copy of the rules for use of the Club boats. I have reviewed the rules, I understand them and agree to abide by them. Inverness Yacht Club Adult Sailing Checkout Program Application for Checkout Program Participation in Flying Scots (cont.)
I certify that if I should fall out of an IYC boat into Tomales Bay, and for some reason cannot get back to the boat, I can swim to shore.
After each use of an IYC boat, I agree to make an entry in the Adult Sailing log in the Boat House, as described in the rules for using the Club boats.
If I damage any parts of an IYC boat during my use of it, I agree to be present during the repair of the boat and assist in the repair however I can.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Agreement
Initial all of the sections, indicating your agreement: *
I am aware that sailing is a potentially dangerous and physically demanding activity, and I agree to waive any responsibility on the part of the Inverness Yacht Club, its members, and instructors in the Adult Sailing Program for any injuries to me that might result from my participation in the Program.
I have received a copy of the rules for use of the Club boats. I have reviewed the rules, I understand them and agree to abide by them. Inverness Yacht Club Adult Sailing Checkout Program Application for Checkout Program Participation in Flying Scots (cont.)
I certify that if I should fall out of an IYC boat into Tomales Bay, and for some reason cannot get back to the boat, I can swim to shore.
After each use of an IYC boat, I agree to make an entry in the Adult Sailing log in the Boat House, as described in the rules for using the Club boats.
If I damage any parts of an IYC boat during my use of it, I agree to be present during the repair of the boat and assist in the repair however I can.
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver