Fort Worth Boat Club TO REGISTER, VISIT December 2nd - February 11th. Scott Lindley

Similar documents
About the program... Our Mission...

Issue No. 1 August 17, 2016

Lake Norman Yacht Club Youth Membership

West Dennis Yacht Club 2018 Sailing School Information Packet

Sailing Center Chesapeake (SCC) 2017 SUMMER Sailing Program

Issue No. 3 October 2016

Gulf Coast High School Sailing Championship & Mississippi High School Sailing Championship

5. Schedule Friday November 21, Registration at Southern YC, boats available for practice after completing registration. Free Evening.

Gulf Coast & Mississippi High School Sailing Championship

Mississippi State High School Fleet Racing Championship Regatta

Junior Sailing Camp. P.O. Box West 2 nd Street Essington, PA

Mississippi State High School Fleet Racing Championship Regatta

2018 Open to Non-Members

TEAM REGISTRATION PACKET

2014 Reyburn Sailing School

CASH BASH TEAM REGISTRATION PACKET

Lesson Program. Thanks again for choosing the Ft. Lauderdale Diving Team!

(*WINTER 18*) NUGGET SURF LESSONS / PRACTICE CLUB MEMBERSHIP Participant Agreement and Waiver of Liability

Summer Sailing School

2018 Austin Yacht Club Junior Sailing Program. Coleman Terrell Sailing Director (512)

June 11 th 15 th, Information & Registration Packet

Hanabi Judo Olympic Week Training Camp

Mississippi State High School Team Racing Championship Regatta

Bellingham Yacht Club Youth Sailing 2015 Medical Waiver Form and Class Registration

FANSHAWE YACHT CLUB SAILING SCHOOL

o Member Information Form o Waiver o Allstar Prep Assessment form, including a 4x6 picture attached to this form. Please follow

Player and Parent Commitment Letter for 2016/2017 Season

Race Announcement. Tawas Bay Windward/Leeward Race: A handicapped race will be held for traditional

KBYC Kayak Explorers and Marine Science (Ages 6-15) 9 AM to 12:30 PM

Session 1: Session 2: Session 3: Session 4: Session 5: Session 6: Session 7: Session 8: Session 9:

Midwest Cheer Elite Half Season Cheerleading & Dance Teams

Alcatraz 2009 Preliminary Information Meeting: Saturday October 18, 2008 DC Ranch Village 6:00-7:00PM N. Thompson Peak Parkway, Scottsdale

Capo Capoeira Afterschool Program 2018/19 Registration Packet

2018 HMBYC Youth Sailing Camp. Gender: Height: Weight: First Parent s Name: Second Parent s Name: Mailing Address: Mailing Address:

2019 AQHA CENTRAL LEVEL 1 CHAMPIONSHIP SHOW ENTRY

Karkara Kids Capoeira Afterschool Program

Pawtucket & Providence Figure Skating Club Associate Membership Application

MJP REGISTRATION CHECKLIST

After School Registration

Cedars Kids Club. Choose July or August 4-week Session. Mondays & Wednesdays 9am 12pm (Instruction) Thursdays 4-6pm (Tournament, Play & Prizes)

Cambridge Golf Club Development Centre. Learn to Play Programs

2016 WPCA Qualification Run-Off Package. Contents to Apply for entry into the 2016 Run-Off

PLAYER REGISTRATION PACKET

ALL STAR CHEERLEADING OVERVIEW

Midwest Cheer Elite- Cleveland All-Star Full Travel Cheerleading, Contemporary, Hip Hop & Pom

Cambridge Golf Club Development Centre. Learn to Play Programs

Spring Freestyle Ice 2018 Registration Packet

A Fundamental All-Star "Exhibition Team" for athletes ages 5-8 years old

Please note: Campers with incomplete/missing forms will not be allowed to participate in REC Kids Camp. You do not need to submit this page.

Annual Tournament Texas Judo All Star Event Brown Belt State Championship

After School Bike Club Flying Wheels INFORMATIONAL PACKET. Wednesdays at 3:45pm 5:30pm. * no riding Nov-Feb. All skill levels welcome!

Also new in 2017, all of our sailing staff will now be required to complete training in High Five s Principles of Healthy Child Development.

Fleet: Gold Sailor's Name Position/Division Grad Year Birthdate

2019 AQHA EAST LEVEL 1 CHAMPIONSHIP SHOW ENTRY

Camp Registration HMBYC Youth Sailing Camp. First and Last Name: (PLEASE PRINT) Gender: Height: Weight: Mailing Address: Mailing Address:

Fall play on TO FIT. SO KIDS CAN PLAY. Little Rock Athletic Club Little Rock Racquet Club

All members of the Blue Valley Youth Sailing Foundation are welcome at the Open Sails and the Family Picnic Sails

Junior Learn-To-Sail Program and Application Forms Introduction

LARRY H. MILLER UTAH SUMMER GAMES SWIMMING

Eastern Region U14 NWAC GS & SL Project National Winter Activity Center, Vernon, NY February 19&20, 2018

The San Francisco Yacht Club 2008 Youth Sailing Brochure

Have fun while learning the basic skills, techniques and rules of golf. Beginners and Advanced Players ages 5-15

2017 ENDLESS SUMMER BEACH SWIM SHORELINE 1 OR 2 MILE O.W.S.

RULES ELIGIBILITY and ENTRY FEES

FALL 2017 YOUTH SPORTS. OWASSO FAMILY YMCA Soccer ages 3-12 TBall ages 3-6 Volleyball ages 8-14

First Name Last Name Date of Birth / / Complete Address Home Phone Cell Phone

Issue No. 11 December Team FWBC/P1 Winter Sailing Team Sessions Have Started

JUNIOR GOLF JUNE - AUGUST 2013 REUNION GOLF AND COUNTRY CLUB

2016 Halloween Spectacular! Lake Forest Sailing Center October 2016

3 rd Annual Munster Masters Summer Splash Sunday, June 14, 2015 Hosted by Munster Swim Club Recognized by GRIN for USMS, Inc. #

The USA CUP. International Junior & Cadet World Roster Point Tournament. National Ranking Points: Cadet & Junior - 3 for 1st, 2 for 2nd, & 1 for 3rd

2018 Optimist Holiday Regatta Notice of Race 12/1/ /2/2018 Hosted by Cabrillo Beach Yacht Club

Midwest Cheer Elite Limited Travel Cheerleading Teams

Waiver of Liability, Release Assumption of Risk & Indemnity Agreement

LCYC Junior Sailing Handbook Summer 2007

TO FIT. SO KIDS CAN PLAY.

JACK S DIVING LOCKER

WHY. Search Blue Mash Golf Camp on YouTube to view fun videos of the past years of Summer Camp!

Karkara Kids Capoeira Summer Camp 2017 Registration Form

2018 ENDLESS SUMMER BEACH SWIM SHORELINE 1.2 OR 2.4 MILE O.W.S.

Karkará Kids Capoeira Afterschool Program

Mu Sool Won of South Austin

Registration Form (Turn one in for each athlete)

Freedive Toronto Membership Form

Referee Clinic. Hui-O-Judo Beltsville Shufu Judo Yudanshakai United States Judo Federation. All levels of referees should attend this clinic!!

Welcome. Family Outdoor Day. on Saturday, June 1, 2013 at. Hunting Hills in Dilliner Pennsylvania!

Hawthorn Hammerheads Swim Team

Children s Summer Programs

UAA Judo and Jiu Jitsu Presents

Contract for SCN 2016 Summer Off-Ice Training Programs Contract Period June 20, 2016 September 2, 2016

Floyd Hall Arena. Youth Spring League 2019 Team Registration Form. Cost per Player: Balance Due:

THURSDAY 2018/19 SESSION 1 IMPORTANT INFORMATION FOR IP SESSION 1

Pasadena Figure Skating Club www. pasadenafsc. com

MIAMI REDFIN MASTERS ANNOUNCE THEIR. Miami University Aquatic Center Oxford, Ohio

Pasadena Figure Skating Club www. pasadenafsc. com

MISSISSIPPI DELTA DRAGON BOAT FESTIVAL Schelben Park, Greenville, Mississippi July 28 30, 2016

Cherry Blossom Open XXV

St. Patrick s Day Run School Challenge

2015 OCY Unofficial Masters Team Championships

Youth Sailor Information

Transcription:

Fort Worth Boat Club 2017/2018 Y outh Winter S ailing Program December 2nd - February 11th About the Fort Worth Boat Club Sailing Program... The Fort Worth Boat Club Jr. Sailing Program provides high level sailing instruction and coaching for all levels. FWBC provides a safe and friendly environment conducive for the learning process of young sailors. Our program is geared for young sailors who enjoy the sport of sailing and the sailors wanting to compete regionally, nationally, and internationally. For children interested in racing, Fort Worth Boat Club offers opportunities for children to sail locally and nationally. The P1/FWBC Sailing Team travels to places such as Louisiana, Florida, California and all the way up into the Northeast. With this program your child receives the best instruction from the finest coaches from around the globe. It is a world class sailing experience to remember. Our Mission... The Mission of the Fort Worth Boat Club Jr. Sailing Program is to develop knowledgeable, honest, and passionate youth dinghy racers and sailors. We are dedicated to providing a safe, fun environment for young sailors to develop and refine their sailing skills, practice good sportsmanship, build lifetime friendships and compete at the highest level of sailing. FWBC recognizes that all sailors, whether they have a good day on the water or a bad day, are all winners. www.fwbc.com You haven't won the race, if in winning the race you have lost the respect of your competitors." -Paul Elvstrom Olympic Gold Medalist TO REGISTER, VISIT WWW.FWBC.COM *Participants must fill out Registration Form and Waiver/ Medical Form. Scott Lindley FWBC Jr. Sailing Director Phone: (817) 236-8393 ext. 6 scott@fwbc.com Opti Training

Advanced Opti Racing Team WHITE, BLUE, RED FLEETS This course focuses on sailing fitness, mastery of boat handling skills, advanced racing tactics and techniques, team racing, fine tuning sail controls, and the physics of racing sailboats. Sailors practice using sail controls, body weight and aerodynamic/ hydrodynamic theory to make their boats go faster. Sailors will be taught to ask questions about evaluating and learning about their performance, and integrate on the water coaching, video analysis and advanced equipment preparation into their regatta experience. In addition, sailors will learn Team Racing which is two teams of four competing against one another using special tactics and strategy to achieve winning combinations of scores. All members on the team contribute to win a match. PRACTICE SCHEDULE All practices start at 10am and run through 4pm. All sailors must be rigged and ready by 10am (weather permitting). All Sailors must come prepared to work out and/or swim. Lunches are not provided. December 2nd and 3rd December 9th and 10th December 17th and 18th January 6th and 7th January 13th and 14th January 20th and 21st January 27th and 28th PRACTICE SCHEDULE All practices start at 10am and run through 3pm. All sailors must be rigged and ready by 10am (weather permitting). December 2nd December 9th December 17th Developmental Team Opti Racing GREEN FLEET This course focuses on development of confidence, fundamental boat handling, sail trim, rules, sportsmanship, basic starting, course tactics, strategy, speed techniques. We will have fun activities mixed in so these kids will learn to enjoy the sport of sailing. This group will focus on sailing Texas Sailing Association events. Developmental sailors are encouraged to attend major events. January 6th January 13th January 20th January 27th *Please note that dates are subject to change due to weather, additions or changes to FWBC or TSA schedules or unforeseen events. Changes will be sent out on the P1/FWBC Team Snap.

PRACTICE SCHEDULE All practices start at 10am and run through 4pm. All sailors must be rigged and ready by 10am (weather permitting). All Sailors must come prepared to work out and/or swim. Lunches are not provided. December 2nd and 3rd December 9th and 10th Laser Training & Clinics... Weekly training will focus on boat handling skills, rig and boat trim, boat speed, advanced race tactics, aero/hydro dynamics, nutrition, physical and strength training. Practices for 420 s and Lasers will be scheduled weekly advanced notice and commitment to this program is required to ensure availability of coaches. December 17th and 18th January 6th and 7th January 13th and 14th January 20th and 21st January 27th and 28th Frequently Asked Questions How early should I sign up for the Fort Worth Boat Club Jr. Program? As soon as possible. How old do I need to be? Although any age can learn to sail, typically the younger the better. Ages 7-14 typically sail in Opti s, progressing to either Laser or 420. Ask Coach Scott if you have questions about your child s age. What are the TSA Regatta coaching fees? They are fees charged to the participants to offset the cost of having coaches and coach boats at regattas. Coaching fees are $35-$45 a day, plus expenses. Members of FWBC receive the discounted rate. The amount you pay for expenses are based on the number of participants. What are my payment options for the winter program? Check or FWBC Club Charge. *All required forms must be filled out completely before participation. Is my child ready to travel outside of Texas for regattas? Yes, all levels of participation are offered at regattas from beginning to advanced. What if my child isn't interested in racing? Sailing is a sport that your child can enjoy for a lifetime. If racing does not peak your child s interest, FWBC offers great summer programs geared to teaching children to sail while having fun and furthering their knowledge of the sport. Does FWBC offer supervision after class? No, please make sure your kids are picked up or supervised promptly after class ends.

2017/2018 Regatta Schedule TSA Regattas Optis & Lasers Regatta Date Location USODA Opti Midwinters November 23rd 25th New Orleans, LA USODA Valentine s Day Regatta February 2nd 4th St. Petersburg, FL TSA #1 Lakewood February 10th-11th Seabrook, TX *Any Laser events will be added. TBD TBD *TSA Regatta dates are subject to change. SCOTT LINDLEY Scott Lindley is the new Jr. Sailing Director of Fort Worth Boat Club and Owner/ Head Coach of the P1 Sailing Team. Scott grew up sailing and teaching in the San Diego Yacht Club Jr. Program, winning several Jr. National Championships in the Snipe Class and many Naples Sabot Regattas (The Naples Sabot is another pram, similar to the Opti.) He competed in 6 US Youth Championships in Sailboards, Laser II s and Lasers medaling twice. Scott was fortunate to have great coaches growing up like Mark Reynolds, JJ Isler, and Brian Ledbetter All Olympic Gold Medalists! Scott sailed for the College of Charleston on a team that won a National Championship and consistently ranked in the top 5 in the country. There he sailed Lasers and 420 s and earned a Bachelor s Degree in Physical Education/Sports Medicine. Scott also did an Olympic 470 campaign with Johnny Lovell who later earned the Silver Medal at the Greece Olympics in the Tornado Class. Scott and Johnny finished 11th out of 40 boats in the US Trials with only 6 months of training and received the Silver Medal in the Olympic Classes Regatta that year. Scott has continued racing in Snipes, J22 s, J24 s, Melges 24 s, Etchells, E-Scows and PC Class boats. Scott currently is a Level 3 US Sailing Coach, US Optimist National Team Coach and has been the Jr. Sailing Director of Houston Yacht Club, Texas Corinthian Yacht Club, Palm Beach Sailing Club, as well as the Assistant Sailing Director at Lauderdale Yacht Club. He has worked as a sail maker with Banks Sails and North Sails. In 19 years of coaching Optimist sailors, most of his kids have reached team trials, qualified for international teams and the US Optimist National Team. Many of Scott s students, new and old, are at the top of the results sheet at major regattas. It is quite clear that Scott s passion is sailing along with honesty and hard work. These attributes are quite clearly instilled in his students.

MATTIA DeRICCO Mattia DeRicco was the Sailing Director of Lakewood Yacht Club for 6 years and was one of the top ranked laser sailors in the country. He performed two Laser Olympic Campaigns. While at Lakewood Yacht Club he developed one of the hottest groups of kids sailing lasers in the country. Many of his kids are ranked in the top 5 and 10 in the Laser Radial Class nationally. Mattia went on to coach with Team Sea Vane and GCYSA. Mattia adds vast experience and depth to the FWBC/P1 coaching group. CALEB LAQUEY Caleb Laquey grew up Sailing at the Fort Worth Boat Club. He raced Opti s, 420 s and Lasers. Caleb was one of our top summer instructors this year and has taken on the role of Green Fleet Coach and High School Sailing Coach. Caleb is US Sailing Level 1 Certified and is planning on getting his level 2. Caleb s passion for sailing is getting passed on to his new Green Fleet members. Caleb is in his freshman Year of College at the University of Maryland. ELLEN BURKS I started sailing at age 11, and racing at age 12 at White Rock Lake in Dallas. My dad raced M Scows and I crewed for him until he bought me my first Butterfly when I was 14. While I was in high school, I raced C Scows, Flying Scots, Snipes, M Scows, M-20 Scows and my Butterfly. In college I sailed with Robert Cummings on our Snipe, E Scow, Moore 24, and other assorted dinghies. Sunfish Worlds. I was one of 3 US women to race at Worlds. What a great experience. I have run sailing programs at Rush Creek Yacht Club, Arlington Yacht Club and Shreveport Yacht Club. This is a dream come true for me. From the time I was in my early 20 s I have been interested in mentoring junior and women sailors. After college, I raced Thistles where I met my future husband C.P. Burks. We sailed together until he bought an MC Scow. Then we traded off sailing the MC at events. C.P. and I have lived and raced all over Texas, and in 2000 we moved to Fort Worth. At that time the Sunfish seemed to be THE dinghy to race. I bought one and the rest is history. In 2009 I won the Sunfish Southwest Regional Regatta which qualified me to race in Italy at the 2010

REGISTRATION *All forms must be filled out for each child. Child s Name (First & Last): Age: DOB: Weight: Address: City: State: Zip: Parent(s) Name (First & Last): Home #: Cell #: E-mail: Emergency Contact Name: Phone #: How did you hear about us?: What type of sailing experience does your child have? T-shirt Size: Circle One YS YM YL AS AM AL AXL Does your child have any medical conditions that may affect he or she while sailing? Would you like to volunteer to help out our Jr. Program in any way? Continued...

WINTER PROGRAM FEES RED WHITE BLUE FLEET $425 (member) $525 (non-member) GREEN FLEET $275 (member) $375 (non-member) LASER $425 (member) $525 (non-member) Regatta Coaching Fees & Conditions $40 (member) $50 (non-member) (per day, per sailor + coaches expenses, which are split amongst participants) Notification of attending a regatta must be made one month prior to the event. All regattas will have a two week window of cancellation. Any participants who do not cancel within this window will be charged for their portion of regatta coaching and expenses. Last minute regatta entries will be charged $55 a day plus the share of expenses with other parents. Method of Payment: CASH CK Club Charge #: If you would like to pay by credit card, please contact the FWBC Office. (817) 236-8393. We accept Visa, MasterCard, and Discover. Total Payment Enclosed: All Checks should be made out to and mailed to: Fort Worth Boat Club 10000 Boat Club Rd. Fort Worth, TX 76179 *Forms may also be scanned and e-mailed to office@fwbc.com Parents and/or guardians please sign and date below to confirm your child's enrollment in the Fort Worth Boat Club. Thanks! (Signature) (Date) OFFICE USE ONLY: Registration Form Waiver

Participant Information, Authorization and Release Personal information contained in this form is considered confidential and is used only to assist the FWBC staff in meeting the needs of the Participant by the FWBC. Fill out all sections completely (mark N/A if not applicable) and sign and initial where indicated. Contact the FWBC Office promptly if there are any changes in this information. Participant and Parent Information Participant Name: Email: Phone: Age: Date of Birth: / / Gender: Grade: Parent Name: Address: City: State: Zip: Email: Phone: Emergency Contacts The Parent named above will be contacted first in case of emergency, after 911. Please list others you would like the Club to contact in the event the named individual cannot be reached. 1) Name Relationship Phone Cell Phone 2) Name Relationship Phone Cell Phone Pick-Up Authorization and Information (if Minor) Please list all individuals other than the named Parent who has permission to pick up the participant. Please indicate below if the participant has permission to leave the FWBC facilities by himself/herself. 1) Name Relationship Phone Cell Phone 2) Name Relationship Phone Cell Phone The participant has permission to leave the FWBC facilities by himself/herself: Please initial correct line: YES NO Other Information Concerning Participant Is there any information concerning the participant that the FWBC staff should be aware of, such as allergies, medical or other needs, physical or mental conditions or impairments, etc? If so, please describe below, or state NONE.

I hereby acknowledge and agree that: Medical Permission Each member of the FWBC staff has permission to administer first aid to the participant for injury or accident. A report of such aid will be given to the Emergency Contact person(s) listed above. Photographs/Video Permission The participant may be photographed (stills and video), individually or in a group. We hereby waive and relinquish all rights, title and interest in all such products, and authorize FWBC to make use of participant s image and likeness for marketing, membership information, and other FWBC uses. Confirmation, Release and Assumption of Risk Parent Acknowledgement (If Minor) 1. I am familiar with the programs included in the activities, and understand officers and employees of the FWBC are available to discuss the activities if I should wish additional information. 2. I am solely responsible for the arrival and departure of my child at the beginning and end of each day's activities. 3. I will not allow my child to remain on the premises of the FWBC after each day's program without appropriate supervision or the written permission of the FWBC. 4. FWBC will have no responsibility for the supervision of my child at times other than during the scheduled activities. 5. My child may be removed from any and all activities if the persons in charge determine that acts and conduct are/is inconsistent with the spirit of good sportsmanship and respect for the rights of others, or might be a danger to my child or others. 6. My child is in good physical, mental and emotional health, and I know of no reason why he/she would be incapable of participating in the activities under the guidelines required. 7. My child knows how to swim. 8. I will immediately notify FWBC if a change in my child's physical, mental or emotional health or other condition would affect my child's ability to participate in the activities. Confirmation, Release and Assumption Acknowledgement 1. I am familiar with the equipment I intend to use and understand the Sailing Director, and staff of the FWBC are available to answer questions if I should wish additional information. 2. I am solely responsible for damage resulting to any equipment that I may cause. 3. FWBC will have no responsibility for injuries or damage resulting to me or others because of my conduct, acts and/or omissions. 4. I may be removed from use of the equipment if the Sailing Director of FWBC staff determine that my acts and conduct are/is inconsistent with the spirit of good sportsmanship and respect for the rights of others, or might be a danger to myself or others. 6. I am in good physical, mental and emotional health, and I know of no reason why I would be incapable of using any of the equipment under the FWBC guidelines. 7. I am trained and am physically able to swim. 8. I will immediately notify FWBC if a change in my physical, mental or emotional health or other condition would affect my ability to safely use of the equipment. Fort Worth Boat Club Small Boat Check Out Policies, Procedures & Rules I have read, understood, and agree to comply with the separate page entitled, Fort Worth Boat Club Small Boat Check Out Policies, Procedures, & Rules. 2

WAIVER OF LIABILITY I WAIVE AND RELEASE ANY RIGHT I, MY GUARDIANS, LEGAL REPRESENTATIVES, ESTATE, HEIRS, BENFICIARIES AND ASSIGNS MAY HAVE OR ACQUIRE TO MAKE A CLAIM AGAINST, SUE, OR PROSECUTE THE FWBC OR ANY OF ITS MEMBERS, DIRECTORS, GOVERNORS, OFFICERS, AGENTS, EMPLOYEES AND AFFILIATED ORGANIZATIONS (HEREIN REFERRED TO AS "THE RELEASES") FOR DAMAGES OR INJURIES RESULTING TO ME, OR MY CHILD OR PROPERTY ARISING FROM USE OF THE EQUIPMENT OR PARTICIPATION IN, AND USE OF THE FACILITIES AND PROPERTY OF THE FWBC, WHETHER OR NOT THE INJURY OR DAMAGE RESULTS FROM NEGLIGENCE OR OTHER ACTION OR OMISSION, EXCEPT INTENTIONAL ACTS, OF ANY OF THE RELEASEES. [PLEASE INITIAL TO INDICATE YOUR AGREEMENT TO THIS PARAGRAPH. ; ] ASSUMPTION OF RISK OF PARENT FOR MINOR CHILD I am aware that the activities may involve maneuvering a boat, sailboard or other watercraft over/in deep water 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 or 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 FOR INJURY, DEATH, AND PROPERTY DAMAGE ARISING FROM PARTICIPATION IN THE ACTIVITIES AND THE USE OF THE FACILITIES AND PROPERTY OF THE FWBC, WHETHER OR NOT CAUSED BY THE NEGLIGENCE OR OTHER ACTION, EXCEPT INTENTIONAL ACTS, OF ANY OF THE RELEASEES. [Please initial to indicate your agreement to this paragraph. ; ] ASSUMPTION OF RISK OF ADULT I am aware that the activities may involve maneuvering a boat, sailboard or other watercraft over/in deep water 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 or stationary objects such as docks, pilings, and buoys. With knowledge of the dangers involved, I voluntarily ask that I be allowed to use the equipment and take part in the activities. I ACCEPT ANY AND ALL RISKS TO MYSELF FOR INJURY, DEATH, AND PROPERTY DAMAGE ARISING FROM USE OF THE EQUIPMENT AND/OR PARTICIPATION IN THE ACTIVITIES AND THE USE OF THE FACILITIES AND PROPERTY OF THE FWBC, WHETHER OR NOT CAUSED BY THE NEGLIGENCE OR OTHER ACTION OR OMISSION, EXCEPT INTENTIONAL ACTS, OF ANY OF THE RELEASEES. [Please initial to indicate your agreement to this paragraph. ; ] INDEMNITY AGREEMENT I agree to indemnify and hold the releasees harmless from any loss, liability, damage or cost, including reasonable attorney s fees, they 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. [Please initial to indicate your agreement to this paragraph. ; ] 3

I agree that: Acknowledgement of Participation Information, Authorization & Release 1. This document consists of 4 pages, plus the separate Fort Worth Boat Club Small Boat Check Out Policies, Procedures, & Rules ; 2. This document may remain on file with the FWBC, and will remain binding, valid, enforce for future equipment use and activities at the FWBC, unless revoked in writing and provided to the FWBC Office; 3. No person has suggested, directly, or indirectly, that any part of this document is a mere formality, unimportant, not enforced, or should not be taken seriously; and 4. This is a legal agreement that I am entering into with the Fort Worth Boat Club. Signature of Participant Signature of Parent (if under 18 yoa) Date: 4