2018 Youth Sailing Camp Registration Youth Sailor Information Youth First Name Youth Nickname Youth Birth Date School attended in the spring Youth Email Youth Mobile Phone Height (Feet' Inches") Weight (Pounds) Youth Gender Female Male Other Can Youth Sailor swim?* Yes *Participants should be comfortable in the water, as ALL participants will take a swim test, fully clothed, wearing a PFD. Youth Sailor has PFD (Personal Floatation Device/Life Jacket) How many Sailing Camp sessions have you attended previously? SPECIAL NEEDS: All are Welcome! Should the youth sailor have any special needs requirements, tell us about them and we will contact you. Please provide details describing any physical or personal limitations, disabilities, handicaps, allergies, medical conditions, etc. Describe what will be needed to accommodate them in the box below. No Yes No RYC 1 Barker Street Racine WI 53402 e of?ce@racineyachtclub.org p 262.634.8585 www.racineyachtclub.org 1 of 6
Parent or Guardian Information First Name Nickname Email Primary Phone Secondary Phone Street Address City State Zip Code Racine Yacht Club Member? Yes Member # How did you hear about our classes? Yacht Club member Friend Facebook Brochure No School program EMERGENCY CONTACT 1 First Name Email Primary Phone Internet Search Other Secondary Phone EMERGENCY CONTACT 2 First Name Email Primary Phone Secondary Phone PARENT MEDICAL INSURANCE INFORMATION Insurance Carrier Policy # Insurance Carrier Phone Number RYC 1 Barker Street Racine WI 53402 e of?ce@racineyachtclub.org p 262.634.8585 www.racineyachtclub.org 2 of 6
Waiver and Acknowledgment PARENT OR GUARDIAN OF YOUTH SAILOR PLEASE READ and ACKNOWLEDGE BELOW: I understand and certify that my child s participation in the RYCYF sailing camp is completely voluntary. I understand that certain hazards and dangers are inherent in sailing camp and water sports, and I acknowledge that although the program has taken measures to minimize the risk of injury to participants, there is no way to guarantee that the activities will be free of accidents or injuries. I understand that the Emergency Contacts I listed on this registration will be contacted in event my participant requires medical attention. In the event the Emergency Contacts cannot be reached in an Emergency situation, I hereby give permission to the attending physician secured by the Racine Yacht Club (and RYCYF) to hospitalize, secure proper treatment for, and to order injections, anesthesia, or surgery for my child. By indicating your acceptance, you understand, agree, warrant and covenant as follows: Racine Yacht Club Youth Foundation, the Racine Yacht Club and any other associated groups, their of?cers, members or associates, appointed or volunteer, do not accept any liability for loss of life or property, personal injury or damage caused or rising out of any activity engaged in during the season for any reason whatsoever. By participating in these water based recreation programs, I am knowledgeable of the inherent risk in the sport. I also agree to assume the risks for myself and agree to hold the Racine Yacht Club Youth Foundation, the Racine Yacht Club and any other associated groups, its of?cers, employees and volunteers harmless and free of any liability for damage or injury that may incur from these activities. I hereby give Racine Yacht Club Youth Foundation, the Racine Yacht Club and any other associated groups the irrevocable right to use my picture or photography in all forms and media and in all manners, including composite or manipulated representations, for advertising, promotion, or any other lawful purposes, and I waive any right to inspect or approve the?nished version(s) including written copy that may be created and appear in connection therewith. Your signature and the date below con?rms your acknowledgment of the terms of this waiver. Please enter your full name (parent or guardian of youth sailor). Parent/Guardian signature Date RYC 1 Barker Street Racine WI 53402 e of?ce@racineyachtclub.org p 262.634.8585 www.racineyachtclub.org 3 of 6
2018 SAILING CAMP REGISTRATION Select one or more Sailing Camp and/or Regatta Training sessions for your youth sailor If you have any questions, please call us! Racine Yacht Club 262.634.8585 SELECTION DATES TIME CAMP DESCRIPTION $225 $225 $125 $125 $125 $200 June 18-21, June 25-28 & July 6 June 18 21, June 25-28 & July 6 July 16-19 & July 23-26 July 30-August. 2 & August. 6-9 July 30-August. 2 & August. 6-9 August 13-16 MORNING 8:30AM- 11:30AM KASZUBE OPTIMIST Training AFTERNOON 12:30 3:30PM KASZUBE 420/LASER Training MORNING CAMP 8:30AM- 11:30AM MORNING CAMP 8:30AM- 11:30AM AFTERNOON CAMP 12:30PM - 3:30PM ALL DAY CAMP 8:30AM 3:30 PM KASZUBE CUP REGATTA TRAINING This camp session is open to sailors who want to attend the Kaszube Cup Regatta (July 9-11), South Shore Yacht Club, Milwaukee. During this camp sailors will learn safety, boat rigging, boat handling skills, and basic racing rules, to be able to compete in the Kaszube Cup. CHOOSE YOUR TRAINING CAMP ACCORDING TO THE BOAT YOU WILL BE RACING. Optimist competitors shall be 8 through 15 years old for this regatta. 420, and Laser competitors shall be 13 through 19 years old during the 2018 calendar year, and shall not turn 20 until after the last day of the regatta. Laser sailors must provide their own Laser. June 18 21...Practice held in Racine Harbor and Lake Michigan June 25 28...Practice held in Racine Harbor and Lake Michigan July 6...Final practice and boat prep for transport to Milwaukee July 9...Transport boats to South Shore Yacht Club, Boat rigging and registration South Shore Yacht Club July 10.Kaszube Regatta Milwaukee Harbor/Lake Michigan On-the-Water Coaching by RYC Instructors July 11.Kaszube Regatta Milwaukee Harbor/Lake Michigan On-the-Water Coaching by RYC Instructors De-rigging boats Registration for the Kaszube Cup http://www.ssyc.org/kaszube-cupregistration and transportation to the regatta is the responsibility of the sailor and their family. DISCLAIMER OF LIABILITY Competitors participate in the regatta entirely at their own risk. The organizing authority will not accept any liability for material damage or personal injury or death sustained in conjunction with or prior to, during, or after the regatta. Sailing Camp: Ages 7-18 years old Optmist, 420, Bic Open to all youth ages 7-18 years old. No prior sailing knowledge is necessary; however, program participants are required to pass a safety swim test (fully clothed with life jacket). Instruction will take place in Racine Harbor, weather permitting the students will have the opportunity to sail on Lake Michigan. $20 Race Season: Dates in description TUESDAY EVENINGS RACING 6:15PM 8:15PM 420 & Laser* RACING For Youth (and the Young at Heart) Held at Racine Yacht Club evenings 6:15PM-8:15PM 2018 Dates: 5/29, 6/5, 6/12, 6/26, 7/17, 7/24, 7/31, 8/7, & 8/14 Laser sailors must provide their own Laser $ TOTAL REGISTRATION FEES PAYMENT OPTIONS: CHECK ENCLOSED CHARGE MY RYC ACCOUNT CHARGE MY CREDIT CARD MASTER CARD / VISA / DISCOVER CARD# EXP / 3 DIGIT CODE PLEASE EMAIL COMPLETED REGISTRATION FORMS TO: OFFICE@RACINEYACHTCLUB.ORG OR MAIL FORMS TO: RACINE YACHT CLUB, ONE BARKER STREET, RACINE, WI 53402 RYC 1 Barker Street Racine WI 53402 e of?ce@racineyachtclub.org p 262.634.8585 www.racineyachtclub.org 4 of 6
SAILING CAMP YOUTH & PARENTAL RESPONSIBILITIES Safety is a key aspect of all sailing programs at the Racine Yacht Club. Parents please review the following with your Youth Sailor. Youth sailors should have for camp each day: Be dressed in comfortable clothes for sailing. Cotton is a poor choice as it absorbs water and does not provide warmth. Closed toed shoes must be worn at all times. Swimming shoes are acceptable. No 9ip 9ops, sandals, or bare feet at ANY time. A windbreaker, change of dry clothes and a towel. Sun glasses and sun block, as the effect of sunlight is greatly increased on the water. Re?llable water bottle, to stay hydrated throughout the day. A whistle to be worn on the PFD, this is a safety MUST. Sailing gloves are recommended, but optional. Safety PFD (Personal Floatation Device) must be work at ALL times while on the dock or on the water. No running or horseplay on docks, in the dry sail areas or in the parking lot. Campers are NOT to leave the dock until the safety boat departs from the dock. All sailors will use reasonable care when operating their boat. Deliberate contact between boats will not be tolerated. Any injuries must be reported to the sailing instructors. Sailing instructors will not and cannot dispense any medication to any student at any time. Safety on the Water Boats are not to stray from the practice area. Students should never leave their boats even if capsized, unless expressly instructed to do so. Weather: before each class the instructors will review weather conditions to include real time radar and wind forecasts for the area (via Milwaukee MKW Nexrad and other sources). Optimists will not leave harbor if sustained winds are over 15 knots or gusts are over 20knots, and will not sail if sustained winds are over 20 knots. When conditions are in doubt, we will not go out. A minimum of two instructors will be present for any on the water activity. Campers who choose not to participate in an on the water activity may stay on shore ONLY if there is an adult to supervise them. Expected Behavior All participants will be respectful to the instructors and fellow sailors at all times. Behavior problems will require a meeting between the youth participants, the parents, and the sailing instructor(s). If a second meeting is required, the program director will be included. There will be no third meeting and there are no refunds. RYC 1 Barker Street Racine WI 53402 e of?ce@racineyachtclub.org p 262.634.8585 www.racineyachtclub.org 5 of 6
Parents Parental participation is encouraged! We value your ideas and suggestions. Those suggestions are best made either 15 minutes before the class starts or when all students have left the area. We cannot run the best possible program if students are tardy. PLEASE make sure your camper is dressed and in their PFD, ready to participate?ve minutes before class starts. Late drop-off or pick up? Everybody runs late sometimes. Running late? The?rst one s on us. Beyond that there is a $10 charge which you can pay directly to the sailing instructors for their lunch or dinner. You may be invited on the chase boat if weather and the activity are appropriate. Here s how you should act: Do not talk to your child from the boat without the express permission of the instructor. You MUST wear a PFD You must have the appropriate footwear. Non-marking soles, boat or deck shoes are required. No open shoes. I hereby release the Racine Yacht Club, Its Board of Directors, Agents, Servants and Employees from liability for accident or Injury which may occur as a result of my participation In Sailing Camp and related events on or off the Racine Yacht Club premises. I acknowledge that my participation in Sailing Camp or related events is voluntary on my part and that as part of my participation I will be on the waters of Lake Michigan and other waters. I acknowledge that I will be responsible for my own safety and that there are risks incident to my participation in Sailing Camp and other events which I am willing to accept. I agree that I will abide by and follow the Instructions of my supervisors / instructors. I agree that I will be responsible for attending classes and be prepared to participate by having the appropriate clothing and other equipment. I am unaware of any health conditions which would limit my participation in Sailing Camp or other related events or activities. YOUTH SAILOR signature Date PARENT/GUARDIAN signature Date RYC 1 Barker Street Racine WI 53402 e of?ce@racineyachtclub.org p 262.634.8585 www.racineyachtclub.org 6 of 6