Loading...

(Please submit one Registration form for the GROUP, along with separate current-year WAIVER forms for every individual who will be sailing, including able-bodied parent, guardian, or agency staff.)

TODAY’S DATE: May 25, 2026

LOCATION of DOCKS: 60 Fort Adams Drive, Newport, RI. (No mail receptacle at this address!)

Yes, all the signed “Waiver of Liability” forms are attached. (Please submit all Waiver of Liability formswith this Registration form. Each person who sails must have a current-year Waiver of Liability on file with Sail To Prevail.)

I Agree

Payment ($70 per boat) may be mailed to: Sail To Prevail - PO Box 1264, Newport, RI 02840

For further details or a weather update, contact: sailingdirector@sailtoprevail.org - 401-849-8898 Ext. 3

Agency/Group Information
Agency/Group Name: *
Agency/Group Office Phone Number: *

Agency/Group Address: *
First Contact Person's Name
First Name*
Last Name*
Phone*
First Contact Person's Age Acknowledgment*
First Contact Person's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Contact Person's Information
Email (for schedule change): *

Please list the fist and last name of each person who will be going on the boat, followed by a mark that shows who is disabled by writing Yes/No next to each name. (Up to 5 boats, 5 people max per boat.) Example: 1. Suzy Smith - Y *
Total Disabled participants: *
Total non-disabled participants: *
How many boats needed? $70 per boat (up to 5 boats, 5 people max. per boat) *
I am applying for a scholarship (attach financial aid form)*
Yes
No
First Contact Person's Signature*
Second Contact Person's Name
First Name*
Last Name*
Contact Person's Date of Birth*
Date of Birth
Information
Email (for schedule change): *

Please list the fist and last name of each person who will be going on the boat, followed by a mark that shows who is disabled by writing Yes/No next to each name. (Up to 5 boats, 5 people max per boat.) Example: 1. Suzy Smith - Y *
Total Disabled participants: *
Total non-disabled participants: *
How many boats needed? $70 per boat (up to 5 boats, 5 people max. per boat) *
I am applying for a scholarship (attach financial aid form)*
Yes
No
Third Contact Person's Name
First Name*
Last Name*
Contact Person's Date of Birth*
Date of Birth
Information
Email (for schedule change): *

Please list the fist and last name of each person who will be going on the boat, followed by a mark that shows who is disabled by writing Yes/No next to each name. (Up to 5 boats, 5 people max per boat.) Example: 1. Suzy Smith - Y *
Total Disabled participants: *
Total non-disabled participants: *
How many boats needed? $70 per boat (up to 5 boats, 5 people max. per boat) *
I am applying for a scholarship (attach financial aid form)*
Yes
No
Fourth Contact Person's Name
First Name*
Last Name*
Contact Person's Date of Birth*
Date of Birth
Information
Email (for schedule change): *

Please list the fist and last name of each person who will be going on the boat, followed by a mark that shows who is disabled by writing Yes/No next to each name. (Up to 5 boats, 5 people max per boat.) Example: 1. Suzy Smith - Y *
Total Disabled participants: *
Total non-disabled participants: *
How many boats needed? $70 per boat (up to 5 boats, 5 people max. per boat) *
I am applying for a scholarship (attach financial aid form)*
Yes
No
Fifth Contact Person's Name
First Name*
Last Name*
Contact Person's Date of Birth*
Date of Birth
Information
Email (for schedule change): *

Please list the fist and last name of each person who will be going on the boat, followed by a mark that shows who is disabled by writing Yes/No next to each name. (Up to 5 boats, 5 people max per boat.) Example: 1. Suzy Smith - Y *
Total Disabled participants: *
Total non-disabled participants: *
How many boats needed? $70 per boat (up to 5 boats, 5 people max. per boat) *
I am applying for a scholarship (attach financial aid form)*
Yes
No
Sixth Contact Person's Name
First Name*
Last Name*
Contact Person's Date of Birth*
Date of Birth
Information
Email (for schedule change): *

Please list the fist and last name of each person who will be going on the boat, followed by a mark that shows who is disabled by writing Yes/No next to each name. (Up to 5 boats, 5 people max per boat.) Example: 1. Suzy Smith - Y *
Total Disabled participants: *
Total non-disabled participants: *
How many boats needed? $70 per boat (up to 5 boats, 5 people max. per boat) *
I am applying for a scholarship (attach financial aid form)*
Yes
No
Seventh Contact Person's Name
First Name*
Last Name*
Contact Person's Date of Birth*
Date of Birth
Information
Email (for schedule change): *

Please list the fist and last name of each person who will be going on the boat, followed by a mark that shows who is disabled by writing Yes/No next to each name. (Up to 5 boats, 5 people max per boat.) Example: 1. Suzy Smith - Y *
Total Disabled participants: *
Total non-disabled participants: *
How many boats needed? $70 per boat (up to 5 boats, 5 people max. per boat) *
I am applying for a scholarship (attach financial aid form)*
Yes
No
Eighth Contact Person's Name
First Name*
Last Name*
Contact Person's Date of Birth*
Date of Birth
Information
Email (for schedule change): *

Please list the fist and last name of each person who will be going on the boat, followed by a mark that shows who is disabled by writing Yes/No next to each name. (Up to 5 boats, 5 people max per boat.) Example: 1. Suzy Smith - Y *
Total Disabled participants: *
Total non-disabled participants: *
How many boats needed? $70 per boat (up to 5 boats, 5 people max. per boat) *
I am applying for a scholarship (attach financial aid form)*
Yes
No
Ninth Contact Person's Name
First Name*
Last Name*
Contact Person's Date of Birth*
Date of Birth
Information
Email (for schedule change): *

Please list the fist and last name of each person who will be going on the boat, followed by a mark that shows who is disabled by writing Yes/No next to each name. (Up to 5 boats, 5 people max per boat.) Example: 1. Suzy Smith - Y *
Total Disabled participants: *
Total non-disabled participants: *
How many boats needed? $70 per boat (up to 5 boats, 5 people max. per boat) *
I am applying for a scholarship (attach financial aid form)*
Yes
No
Tenth Contact Person's Name
First Name*
Last Name*
Contact Person's Date of Birth*
Date of Birth
Information
Email (for schedule change): *

Please list the fist and last name of each person who will be going on the boat, followed by a mark that shows who is disabled by writing Yes/No next to each name. (Up to 5 boats, 5 people max per boat.) Example: 1. Suzy Smith - Y *
Total Disabled participants: *
Total non-disabled participants: *
How many boats needed? $70 per boat (up to 5 boats, 5 people max. per boat) *
I am applying for a scholarship (attach financial aid form)*
Yes
No
Parent or Guardian's Email Address
Email*
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
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.


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*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Information
Email (for schedule change): *

Please list the fist and last name of each person who will be going on the boat, followed by a mark that shows who is disabled by writing Yes/No next to each name. (Up to 5 boats, 5 people max per boat.) Example: 1. Suzy Smith - Y *
Total Disabled participants: *
Total non-disabled participants: *
How many boats needed? $70 per boat (up to 5 boats, 5 people max. per boat) *
I am applying for a scholarship (attach financial aid form)*
Yes
No
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 - TRY IT FREE!