Bellingham Yacht Club Youth Sailing 2015 Medical Waiver Form and Class Registration Print this application, one per student, fill it out and mail the application(s) with payment to: Bellingham Yacht Club, 2625 So. Harbor Loop Drive, Bellingham, WA 98215 Youth Applicant Information: Name Address City State Zip Home Phone Birth Date Cell Phone Weight Email Address Email the BYC News Letter School Sailing Experience Beginner Intermediate Advanced Swimming Experience Beginner Intermediate Advanced Parent/Guardian Parent/Guardian Emergency Contact Emergency Contact Contact Name Day Phone Evening Phone Applicant s Physician List allergies and relevant medical conditions that may be of concern. (Diabetes, Epilepsy, Heart Disease, and history of Hypothermia are generally considered relevant to cold water sports.) Applicant Acceptance/Acknowledgement: I,, the above-named Applicant, do hereby agree to adhere to the bylaws, rules and/or policies of the Bellingham Yacht Club. I understand that my failure to do so will jeopardize my ability to continue to participate in Club activities, including training and racing. I agree to treat Club property, including boats, with care and to follow all safety and other practices required by the Club, its officers, trustees, volunteers or employees. I also agree to allow use of any photos taken of participant during class lessons to be used by BYC for promotional purposes, including but not limited to the BYC website and promotional brochures. I accept the above statement. Applicant signature: Date: Parent/Guardian Approval/Waiver: The Parent/Guardian of the Student is required to read the attached Release of Liability, Waiver of Right to Sue and Agreement to Indemnify and Hold Harmless document and to print a copy and sign it and return the copy to BYC. The signed copy of the waiver must be received by BYC before the student can participate in any class. If a Parent/Guardian is registering more than one student, a copy of the waiver must be submitted for each student. I accept the above statement. Applicant signature: Date: PAGE 1
Bellingham Yacht Club 2015 Class Registration Cont. 2015 Courses: Basic, Intermediate, Advanced and Keelboat classes meet Monday-Friday, 9 am 4 pm Cruising Camps meet Monday-Friday, 8:30 am 4:30 pm Basic Small Boat Sailing Courses (Full Day) Price Reg. Fee Class Total Session 1: June 29 July 3 Basic (Ages 10-18) $ 225 $ 60 $ 285 Session 2: June 29 July 3 Basic (Ages 8-12) $ 225 $ 60 $ 285 Session 3: July 6 10 Basic (Ages 8-12) $ 225 $ 60 $ 285 Session 4: July 13 17 Basic (Ages 10-18) $ 225 $ 60 $ 285 Session 5: July 27 31 Basic (Ages 8-12) $ 225 $ 60 $ 285 Session 6: Aug 3 7 Basic (Ages 8-12) $ 225 $ 60 $ 285 Session 7: Aug 10 14 Basic (Ages 8-12) $ 225 $ 60 $ 285 Session 8: Aug 17 21 Basic (Ages 10-18) $ 225 $ 60 $ 285 Prerequisite for Intermediate Level Sailing is Basic Sailing or equivalent experience. Intermediate Small Boat Sailing Courses (Full Day) Price Reg. Fee Class Total Session 1: July 6 10 Intermediate OPTI (Ages 8-13) $ 225 $ 60 $ 285 Session 2: July 13 17 Intermediate FJ (Ages 10-18) $ 225 $ 60 $ 285 Session 3: July 20 24 Intermediate OPTI (Ages 8-13) $ 225 $ 60 $ 285 Session 4: July 27 31 Intermediate FJ (Ages 10-18) $ 225 $ 60 $ 285 Session 5: Aug 10 14 Intermediate OPTI (Ages 8-13) $ 225 $ 60 $ 285 Session 6: Aug 17 21 Intermediate FJ (Ages 10-18) $ 225 $ 60 $ 285 Prerequisite for Advanced Level Sailing is Intermediate Small Boat Sailing or Instructor Approval. Advanced Small Boat Sailing Courses (Full Day) Price Reg. Fee Class Total Session 1: July 20 24 (Ages 9-18) $ 225 $ 60 $ 285 Session 2: Aug 17 21 (Ages 9-18) $ 225 $ 60 $ 285 Prerequisite for Beginner Keelboat Sailing Camp is Basic Small Boat Sailing or Instructor Approval. Beginner Keelboat Group Sailing Course (Full Day) Price Reg. Fee Class Total Session 1: Aug 3 7 (Ages 10-18) (Capacity 12 students) $ 225 $ 60 $ 285 Prerequisite for the Cruising Camp is Basic Small Boat Sailing or equivalent experience. Bellingham Bay Cruising Camp (Full Day) Price Reg. Fee Class Total Session 1: Aug 10 14 Cruising Camp (Ages 10-18) $ 240 $ 60 $ 300 PAGE 2
Bellingham Yacht Club 2015 Class Registration Cont. Note: A Non-refundable registration fee of $60 per class is included in the total fee for each class. I am registering for 1 class @ $ Total Amount Enclosed: $ My parents/relatives are adult BYC Members (deduct $30 per class) Total Amount Enclosed: $ My family is signing up for 2 or more classes. (deduct $20 per class*) Total Amount Enclosed: $ *Note: The multiple class discount applies only to the second and any additional classes. Payment by: Bill my Credit Card: Visa MasterCard Card number: Expiration Date: Month Year Cardholder's name: Or (preferred): I will mail a check to: Youth Sailing Program Bellingham Yacht Club 2625 So. Harbor Loop Bellingham, WA 98215 Or Charge to BYC Account (Members Only) * Payment must be received before space will be reserved. Registration payments must be received by Thursday at 5:00 p.m. of the week prior to the class date in order to reserve space for the following week's class. ** Due to limited class space, no refunds will be available if a reservation is cancelled less than two week prior to the starting date of the class. For questions regarding this form or about the Youth Sailing Program contact Megan Link at (206) 498-8665, email: BYC.Junior.Sailing@gmail.com NOTE: BEFORE SUBMITTING THIS FORM WE SUGGEST THAT YOU PHOTOCOPY IT FOR YOUR RECORDS. PAGE 3
Bellingham Yacht Club Youth Sailing 2015 Student Orientation Dear Parents: Welcome Aboard!!! The success of the Bellingham Yacht Club s (BYC) summer youth sailing program depends in part on each student being well prepared for class every day. Please make sure your kids are prepared for the BYC s summer sailing classes by having them bring the following to every class: A US Coast Guard approved life jacket suitable to your child s size. We recommend that you purchase one for your child. You also may borrow youth life jackets from the Port of Bellingham s Squalicum Harbor main office (near the BYC) thorough the life jacket loaner program. BYC SAILING STUDENTS AND INSTRUCTORS ARE REQUIRED TO WEAR COAST GUARD APPROVED LIFE JACKETS WHENEVER THEY ARE IN BOATS, ON DOCKS, OR NEAR THE WATER NO EXCEPTIONS! A wet suit. Wet suits come in many styles. You may want to consider having your child wear a shorty wet suit (covers the torso, and upper arms and upper legs), or a wet suit that fully covers the torso, arms and legs. They also must wear water tolerant footwear. Sailing gloves also are highly recommended. We recommend that your student wear a swim suit under their wet suit, and have a change of clothes including a jacket or sweat shirt. We also recommend bringing along a towel to each class. A hat providing good sun protection and water resistant sun screen. Sunlight reflects off the water, boat decks and sails, and can cause severe sunburns (even on cloudy days) if a hat and sunscreen are not worn. Sunglasses are highly recommended to protect eyes from sunburn. A sack lunch, morning and afternoon snacks, and plenty of water or other beverage. A strong sense of adventure, a good attitude, and a willingness to listen, learn, and pay attention. Respect for the instructors and other students, and good behavior is expected of all students at all times. We ask that you let our instructors know about any special needs your child may have including medical conditions and food allergies. Students will undergo a basic swimming test (while wearing a life jacket and wet suit) the first day of each week-long class, so make sure they are ready to swim. Monday Morning Class Meeting Time and Location: Check-in for the BYC s summer sailing classes will be located in the basement of the Bellingham Yacht Club, 2625 Harbor Loop, Bellingham, WA 98215. The basement entrance is located on the east side of the building next to the America s Cup coffee stand. We ask that a parent or guardian check-in students Monday morning starting at 8:45 a.m. for all classes except for the Small Boat Cruising Camp which is 8:15 a.m. We also ask that you promptly pick-up your child at the end of each class. Class Times: All Small Boat and Beginner Group Keelboat Classes: Monday Friday 9:00 a.m. 4:00 p.m. Small Boat Cruising Camps: Monday Friday 8:30 a.m. 4:30 p.m. Do You Have Questions, Concerns, or Comments about the BYC s Summer Youth Sailing Program? Please direct them to Megan Link at 206-498-8665 or BYC.Junior.Sailing@gmail.com. Thank you for helping make the BYC s summer youth sailing program a success! I hope everyone has a great summer! Megan Link, BYC Youth Sailing Program Director (206) 498-8665 PAGE 1
BELLINGHAM YACHT CLUB RELEASE OF LIABILITY, WAIVER OF RIGHT TO SUE, AND AGREEMENT TO INDEMNIFY AND HOLD HARMLESS I,, am the parent or guardian of, a minor child (Child), age, and hereby consent and authorize Child to participate in the sailing programs operated by the Bellingham Yacht Club (BYC), including, but not limited to, the BYC s Youth Sailing Classes (Sailing Programs). I understand that there are certain risks that are inherent in sailing, than can result in serious bodily injury, death, or damage to property. Risks may result from acts or omissions of Child, other persons participating in BYC Sailing Programs, operator of boats, conditions, including weather, in which such activities take place, and forces of nature. Risks include injuries occurring when, but not limited to, on the boat or dock, rigging/unrigging, docking, casting off, handling lines and spars, maneuvering, colliding with boats or stationary objects, capsizing, and travelling to or from regattas or activities related to BYC Sailing Programs. Injuries can include, but are not limited to, sprains, dislocations, fractures, lacerations, concussions, hypothermia, paralysis, and drowning. I am aware of the risks and types of injuries listed above and acknowledge that the risks and injuries listed above are not exclusive. Before allowing Child to participate in the BYC Sailing Programs, I have carefully considered the risks and injuries above, his or her age, health, physical condition, ability to learn, understand, and follow instruction, and the suitability of the BYC Sailing Programs and I ACCEPT ALL RESPONSIBILITY FOR SUCH DECISION AND ALL RISKS of injury, death, or property damage. In consideration for his or her participation in the BYC Sailing Programs, I freely and voluntarily RELEASE THE BYC FROM ALL LIABILITY, WAIVE THE RIGHT TO SUE, AND AGREE TO INDEMNIFY AND HOLD THE BYC HARMLESS FROM ANY AND ALL LIABILITY WHATSOEVER, FOR PERSONAL INJURY, INCLUDING DEATH, AND DAMAGE TO PROPERTY WHETHER RESULTING FROM NEGLIGENCE OR OTHERWISE. I further agree to allow use of any photos of the participant taken while enrolled in the lesson program to be used for promotional purposes for BYC, including but not limited to the BYC website and promotional brochures. I further understand and agree that as used herein, BYC means its members, officers, directors, agents, employees, volunteers, and all persons acting in association therewith or subject to the control, direction, or supervision thereof, or in conjunction with the BYC Sailing Programs. I further expressly affirm that I have full lawful authority as the parent or guardian of Child to sign this RELEASE OF LIABILITY, WAIVER OF RIGHT TO SUE, AND AGREEMENT TO INDEMNIFY AND HOLD HARMLESS in such capacity and that the BYC will rely on such affirmation. I understand by signing this RELEASE OF LIABILITY, WAIVER OF RIGHT TO SUE, AND AGREEMENT TO INDEMNIFY AND HOLD HARMLESS, I GIVE UP, FOREVER, my right, and those of, any heir, representative, or assign, TO RECOVER DAMAGES FOR SUCH INJURY, DEATH, OR DAMAGE TO PROPERY, I have READ, UNDERSTAND, AND AGREE to all terms and conditions above, and I acknowledge receipt of a copy of this document. Signed this day of, 2015, ; Signature Driver s License # For BYC use only: Received by Print Name REVISION: 3 REVISED: 1/29/2015