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Onboarding Form

Please fill this out before your first day. We are looking forward to having you!


PERMISSION TO USE QUOTE, PHOTO OR PERSONAL STATEMENT

FOR GOOD CONSIDERATION, the undersigned irrevocably authorizes Challenged Sailors San Diego and its employees, agents, volunteers and participants its successors and assigns to use, publish or reprint in whole or in part statements, pictures, photographs, endorsements or quotations made while engaged in any and all activities organized for sailing or racing. This authorization shall extend to all publication, print and electronic mediums, including all new editions, reprints, advertisements, publicity and promotions.

Signature of Participant/Crew Member OR if participant is under 18, signature of Parent or Guardian:

Date: May 9, 2024

RELEASE OF LIABILITY- READ CAREFULLY, THIS AFFECTS YOUR LEGAL RIGHTS

In exchange for participation in the activity of sailing, racing and participating in any program of organized by Challenged Sailors San Diego and its employees, agents, volunteers and participants (hereinafter Releasees) and/or use of their property, facilities and services, I agree for myself and (if applicable) for the members of my family, to the following:

1. I agree to observe and obey all posted rules and warnings, and further agree to follow any instructions or directions given by Releasees, their employees, agents, volunteers and participants.

2. I recognize that there are certain inherent risks associated with the above described activity including serious personal injury, drowning and death as well as damage or loss of personal property and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Releasees for injury, loss or damage arising out of my or my family's use of or presence upon the facilities of Releasees, whether caused by the fault of myself, my family, Releasees and their agents or other third parties.

3. In the event of an injury during the above described activities, I give my permission to Releasees or to their employees, representatives or agents to arrange for any necessary medical treatment and transportation for which I shall be financially responsible.

4. I agree to indemnify and defend Releasees against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of Releasees. Any legal or equitable claim that may arise from participation in the above shall be resolved under California law.

5. I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this Agreement if I so desire. I further agree and acknowledge that Releasees offered to refund any fees I have paid to use its facilities if I choose not to sign this Agreement.

6. This Agreement and each of its terms are the product of an arms' length negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of this Agreement, or any of its provisions, the Parties, and each of them, explicitly reject the application of any legal or equitable rule of interpretation which would lead to a construction either "for" or "against" a particular party based upon their status as the drafter of a specific term, language, or provision giving rise to such ambiguity. Accordingly, the Parties specifically reject the application of Cal. Civ. Code §1654 to this Agreement, as well as any other statute or common law principles of similar effect.

7. The invalidity or unenforceability of any provision of this Agreement, whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this Agreement or of any other applications of such provision, as the case may be, and such invalid or unenforceable provision shall be deemed not to be a part of this Agreement.

8. Any controversy or claim arising out of or relating to this contract, or the breach thereof, shall be settled by arbitration administered by the American Arbitration Association in accordance with its Commercial Arbitration Rules, and judgment on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof.

9. Challenged Sailors San Diego is not a sailing school and does not offer certified sailing instruction.

I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.

Signature of Participant/Crew Member OR if participant is under 18, signature of Parent or Guardian:

Date: May 9, 2024

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

What is your goal or interest? *

If applicable, please describe your disability and level of mobility, strengths and capabilities as it applies to sailing, handling lines and transferring to/from a boat:

Please describe your sailing experience: *

Questions, comments, suggestions?

Please note that the maximum weight limit for sailors is 250 lbs. 


Weight? *

MEDICAL AND EMERGENCY INFORMATION

Does the participant have a history of, or currently have, any physical disabilities or medical limitations?*
No
Yes

If yes, please specify
Does the participant require any special support?*
No
Yes

If yes, please specify

Please describe participant's experience in and around water *
Does the participant use a wheelchair?*
No
Yes
Does the participant require help with transfers into / out of boat?*
No
Yes

Please describe any condition that would require special support or consideration. This could include conditions such as limited sight, use of crutches or prosthetics, limited mobility, medical issues, etc. (ex. lift from wheelchair, Power Assist Unit, transfer)
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

What is your goal or interest? *

If applicable, please describe your disability and level of mobility, strengths and capabilities as it applies to sailing, handling lines and transferring to/from a boat:

Please describe your sailing experience: *

Questions, comments, suggestions?

Please note that the maximum weight limit for sailors is 250 lbs. 


Weight? *

MEDICAL AND EMERGENCY INFORMATION

Does the participant have a history of, or currently have, any physical disabilities or medical limitations?*
No
Yes

If yes, please specify
Does the participant require any special support?*
No
Yes

If yes, please specify

Please describe participant's experience in and around water *
Does the participant use a wheelchair?*
No
Yes
Does the participant require help with transfers into / out of boat?*
No
Yes

Please describe any condition that would require special support or consideration. This could include conditions such as limited sight, use of crutches or prosthetics, limited mobility, medical issues, etc. (ex. lift from wheelchair, Power Assist Unit, transfer)
Third Participant's Name

First Name*

Middle Name

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

What is your goal or interest? *

If applicable, please describe your disability and level of mobility, strengths and capabilities as it applies to sailing, handling lines and transferring to/from a boat:

Please describe your sailing experience: *

Questions, comments, suggestions?

Please note that the maximum weight limit for sailors is 250 lbs. 


Weight? *

MEDICAL AND EMERGENCY INFORMATION

Does the participant have a history of, or currently have, any physical disabilities or medical limitations?*
No
Yes

If yes, please specify
Does the participant require any special support?*
No
Yes

If yes, please specify

Please describe participant's experience in and around water *
Does the participant use a wheelchair?*
No
Yes
Does the participant require help with transfers into / out of boat?*
No
Yes

Please describe any condition that would require special support or consideration. This could include conditions such as limited sight, use of crutches or prosthetics, limited mobility, medical issues, etc. (ex. lift from wheelchair, Power Assist Unit, transfer)
Fourth Participant's Name

First Name*

Middle Name

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

What is your goal or interest? *

If applicable, please describe your disability and level of mobility, strengths and capabilities as it applies to sailing, handling lines and transferring to/from a boat:

Please describe your sailing experience: *

Questions, comments, suggestions?

Please note that the maximum weight limit for sailors is 250 lbs. 


Weight? *

MEDICAL AND EMERGENCY INFORMATION

Does the participant have a history of, or currently have, any physical disabilities or medical limitations?*
No
Yes

If yes, please specify
Does the participant require any special support?*
No
Yes

If yes, please specify

Please describe participant's experience in and around water *
Does the participant use a wheelchair?*
No
Yes
Does the participant require help with transfers into / out of boat?*
No
Yes

Please describe any condition that would require special support or consideration. This could include conditions such as limited sight, use of crutches or prosthetics, limited mobility, medical issues, etc. (ex. lift from wheelchair, Power Assist Unit, transfer)
Fifth Participant's Name

First Name*

Middle Name

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

What is your goal or interest? *

If applicable, please describe your disability and level of mobility, strengths and capabilities as it applies to sailing, handling lines and transferring to/from a boat:

Please describe your sailing experience: *

Questions, comments, suggestions?

Please note that the maximum weight limit for sailors is 250 lbs. 


Weight? *

MEDICAL AND EMERGENCY INFORMATION

Does the participant have a history of, or currently have, any physical disabilities or medical limitations?*
No
Yes

If yes, please specify
Does the participant require any special support?*
No
Yes

If yes, please specify

Please describe participant's experience in and around water *
Does the participant use a wheelchair?*
No
Yes
Does the participant require help with transfers into / out of boat?*
No
Yes

Please describe any condition that would require special support or consideration. This could include conditions such as limited sight, use of crutches or prosthetics, limited mobility, medical issues, etc. (ex. lift from wheelchair, Power Assist Unit, transfer)
Sixth Participant's Name

First Name*

Middle Name

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

What is your goal or interest? *

If applicable, please describe your disability and level of mobility, strengths and capabilities as it applies to sailing, handling lines and transferring to/from a boat:

Please describe your sailing experience: *

Questions, comments, suggestions?

Please note that the maximum weight limit for sailors is 250 lbs. 


Weight? *

MEDICAL AND EMERGENCY INFORMATION

Does the participant have a history of, or currently have, any physical disabilities or medical limitations?*
No
Yes

If yes, please specify
Does the participant require any special support?*
No
Yes

If yes, please specify

Please describe participant's experience in and around water *
Does the participant use a wheelchair?*
No
Yes
Does the participant require help with transfers into / out of boat?*
No
Yes

Please describe any condition that would require special support or consideration. This could include conditions such as limited sight, use of crutches or prosthetics, limited mobility, medical issues, etc. (ex. lift from wheelchair, Power Assist Unit, transfer)
Seventh Participant's Name

First Name*

Middle Name

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

What is your goal or interest? *

If applicable, please describe your disability and level of mobility, strengths and capabilities as it applies to sailing, handling lines and transferring to/from a boat:

Please describe your sailing experience: *

Questions, comments, suggestions?

Please note that the maximum weight limit for sailors is 250 lbs. 


Weight? *

MEDICAL AND EMERGENCY INFORMATION

Does the participant have a history of, or currently have, any physical disabilities or medical limitations?*
No
Yes

If yes, please specify
Does the participant require any special support?*
No
Yes

If yes, please specify

Please describe participant's experience in and around water *
Does the participant use a wheelchair?*
No
Yes
Does the participant require help with transfers into / out of boat?*
No
Yes

Please describe any condition that would require special support or consideration. This could include conditions such as limited sight, use of crutches or prosthetics, limited mobility, medical issues, etc. (ex. lift from wheelchair, Power Assist Unit, transfer)
Eighth Participant's Name

First Name*

Middle Name

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

What is your goal or interest? *

If applicable, please describe your disability and level of mobility, strengths and capabilities as it applies to sailing, handling lines and transferring to/from a boat:

Please describe your sailing experience: *

Questions, comments, suggestions?

Please note that the maximum weight limit for sailors is 250 lbs. 


Weight? *

MEDICAL AND EMERGENCY INFORMATION

Does the participant have a history of, or currently have, any physical disabilities or medical limitations?*
No
Yes

If yes, please specify
Does the participant require any special support?*
No
Yes

If yes, please specify

Please describe participant's experience in and around water *
Does the participant use a wheelchair?*
No
Yes
Does the participant require help with transfers into / out of boat?*
No
Yes

Please describe any condition that would require special support or consideration. This could include conditions such as limited sight, use of crutches or prosthetics, limited mobility, medical issues, etc. (ex. lift from wheelchair, Power Assist Unit, transfer)
Ninth Participant's Name

First Name*

Middle Name

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

What is your goal or interest? *

If applicable, please describe your disability and level of mobility, strengths and capabilities as it applies to sailing, handling lines and transferring to/from a boat:

Please describe your sailing experience: *

Questions, comments, suggestions?

Please note that the maximum weight limit for sailors is 250 lbs. 


Weight? *

MEDICAL AND EMERGENCY INFORMATION

Does the participant have a history of, or currently have, any physical disabilities or medical limitations?*
No
Yes

If yes, please specify
Does the participant require any special support?*
No
Yes

If yes, please specify

Please describe participant's experience in and around water *
Does the participant use a wheelchair?*
No
Yes
Does the participant require help with transfers into / out of boat?*
No
Yes

Please describe any condition that would require special support or consideration. This could include conditions such as limited sight, use of crutches or prosthetics, limited mobility, medical issues, etc. (ex. lift from wheelchair, Power Assist Unit, transfer)
Tenth Participant's Name

First Name*

Middle Name

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

What is your goal or interest? *

If applicable, please describe your disability and level of mobility, strengths and capabilities as it applies to sailing, handling lines and transferring to/from a boat:

Please describe your sailing experience: *

Questions, comments, suggestions?

Please note that the maximum weight limit for sailors is 250 lbs. 


Weight? *

MEDICAL AND EMERGENCY INFORMATION

Does the participant have a history of, or currently have, any physical disabilities or medical limitations?*
No
Yes

If yes, please specify
Does the participant require any special support?*
No
Yes

If yes, please specify

Please describe participant's experience in and around water *
Does the participant use a wheelchair?*
No
Yes
Does the participant require help with transfers into / out of boat?*
No
Yes

Please describe any condition that would require special support or consideration. This could include conditions such as limited sight, use of crutches or prosthetics, limited mobility, medical issues, etc. (ex. lift from wheelchair, Power Assist Unit, transfer)
Parent or Guardian's Email Address

Email*
Check to receive information, news, and discounts by e-mail.
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:*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*

Emergency Contact's Relation to Participant
Additional Questions
Are you signing up?*
For myself
As part of a group sail

What is the organizations name if you selected group sail?

How did you hear about Challenged Sailors?

ADDITIONALLY REQUIRED FOR MINOR CHILD OR IMPAIRED/DEPENDENT ADULT:

By signing this Release of Liability, I represent that I have legal authority and custody of and agree to all the terms and conditions of the above stated release. In the event of an injury to the above minor/dependent during the above described activities, I give my permission to Releasees to arrange for all necessary medical treatment and transportation without limitation for which I shall be financially responsible. 



By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

What is your goal or interest? *

If applicable, please describe your disability and level of mobility, strengths and capabilities as it applies to sailing, handling lines and transferring to/from a boat:

Please describe your sailing experience: *

Questions, comments, suggestions?

Please note that the maximum weight limit for sailors is 250 lbs. 


Weight? *

MEDICAL AND EMERGENCY INFORMATION

Does the participant have a history of, or currently have, any physical disabilities or medical limitations?*
No
Yes

If yes, please specify
Does the participant require any special support?*
No
Yes

If yes, please specify

Please describe participant's experience in and around water *
Does the participant use a wheelchair?*
No
Yes
Does the participant require help with transfers into / out of boat?*
No
Yes

Please describe any condition that would require special support or consideration. This could include conditions such as limited sight, use of crutches or prosthetics, limited mobility, medical issues, etc. (ex. lift from wheelchair, Power Assist Unit, transfer)
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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