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Name ________________________________ Age________
Has he/she had sailing lessons before?______ Where?___________________
Parents Name__________________________ email_____________________
Permanent Address______________________ Home phone_______________
______________________________________ Lake phone_______________
Phone number where you can be reached while your child is at SS___________
Emergency contact if you cannot be reached_____________________________
Please circle the session(s) you would like to register your child for:
Sailing Skills 1 - am
June 23-July 4 |
Racing Skills 1 - pm
June 23-July 4 |
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Intro to Sailing 1 - “A”
June 23-June 27 (one week class) |
Intro to Sailing 1 - “B”
June 30-July 4 (one week class) |
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Sailing Skills 2 - am
July 7 - July 18 |
Racing Skills 2 - pm
July 7 - July 18 |
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Intro to Sailing 2 - “A”
July 7 - July 11 (one week class) |
Intro to Sailing 2 - “B”
July 14 - July 18 (one week class) |
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Sailing Skills 3 - am
July 21 - August 1 |
Racing Skills 3 - pm
July 21 - August 1 |
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Intro to Sailing 3 - “A”
July 21 - July 25 (one week class) |
Intro to Sailing 3 - “B”
July 28 - August 1 (one week class) |
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Bonus Week - am
August 4 - August 8 (one week class) |
Bonus Week - pm
August 4 - August 8 (one week class) |
TOTAL $__________ Please make checks payable to GLSS.
RELEASE AND CONSENT
In consideration of my participation in the Gull Lake Yacht Club Sailing School, Inc. sailing school activities, I/we do hereby for myself, my heirs, executors and administrators waive, release, and forever discharge any and all rights and claims for damages, which I/we may have, or which may hereafter accrue to me, against the GLSS and its agents, officers and directors, representatives, successors and assigns for any and all damages or injuries which may be suffered by me in connection with my entry and participation. I/we attest and verify that I/we am/are physically fit and sufficiently trained to participate in this activity.
___________________________ ___________________________
Signature of Parent/Guardian Signature of Participant
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Please return your form to:
Peter Dunphy
11258 Birch Island Rd. East Gull Lake, MN 56401
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