| Premier Sailing School Application Form - Young Sailors/J24 Teen Course |
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Name of Young Sailor............................................................................Age.................................. Name of Parent or Guardian ....................................................................................................... Address.............................................................................................................................................. Telephone # Home............................... Work............................. Cell Phone.......................... E-Mail................................................................ Can he or she Swim ?..................... Where/ How did you hear about us ?.................................................................................................. Medical Condition. Please tell us any medical condition we should be aware of for your child's safety. .......................................................................................................................................................... Course Location: Tides Inn Williamsburg Virginia Beach Beginner [] Intermediate [] Advanced[] J24 Basic sailing [] Course dates requested .............................................................................................. Deposit or full payment enclosed $.............................. Check # Checks payable to Premier Sailing. Deposit to be sent with this booking form. Balance due 30 days before course start date. Please Return this form to :- Premier Sailing, PO Box 779, Irvington, VA 22480. Telephone 804 438 9300 Email info@premiersailing.com Waiver : Sailing Instruction Waiver and release of liability and assumption of risk agreement. The undersigned customer/ guardian of Premier Sailing School assumes and understands that sailing is a potentially a hazardous sport ; that grounding, accidental jibes, manoverboards and equipment failures occur from time to time without warning and that variations in wind and sea conditions, water traffic, submerged obstructions and other hazards to navigation exist. In using Premier Sailing's equipment to participate in Sailing Instruction or Sailing Events at Premier Sailing School, the undersigned recognizes and accepts such dangers and assumes full responsibility for such risks, and holds Premier Sailing and / or their officers, employees, assistants or agents, harmless against any and all bodily injury and / or property damages resulting from such risks.The undersigned expressly acknowledges that The New Tides LLC, Two Rivers Yacht Club & Country Club and Virginia Beach Resort Hotel and Conference Center, and related parties have no responsibility whatsoever for Sailing School activities. The undersigned gives permission for any photos taken during the course to be used by Premier Sailing for publicity / marketing. Signature of Parent or Guardian ..........................................................Date ..........................
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