2011 PMYC Sailing Program

  Application For:
      ____   Sailing School
      ____   Race Week

 
Name of Sailor ___________________________ Age ___ (not req'd for adults)
 
Name of Sailor ___________________________ Age ___ (not req'd for adults)
 
Name of Sailor ___________________________ Age ___ (not req'd for adults)
 
Name of Parent/Guardians _______________________________________
 
Address:
 
 
Telephone:
 
E-Mail:
 
Requirements: Be able to swim; wear life vest; be over 10 years old; be PMYC member

RELEASE OF LIABILITY

In consideration for being permitted to participate in the Petit Manan Yacht Club (PMYC) Sailing Program I/we hereby represent that I/we understand that sailing is a high risk activity which could result in accidental serious bodily injury or death. I/we represent that all who intend to participate are competent swimmers, and I/we understand that I/we can participate in the program and in the supervision of our children. We hereby agree that I/we, my/our heirs, legal representatives, assigns, and children will not make any claim against, sue, attach the property of, or prosecute PMYC, its officers, directors, or members, as a result of our participation in the Sailing Program. In addition, I/we hereby release and discharge PMYC, its officers, directors, and members from all actions, claims or demands that I/we, my/our heirs, legal representative, assigns, or children now have, may hereafter have for injury or damage resulting from our participation in the PMYC Sailing Program.

I/we have carefully read this agreement and fully understand its contents, and am aware that this is a release of liability between myself/ourselves and PMYC.

Signed_____________________________________Date____________________

Signed_____________________________________Date____________________

 
2011 Schedule:

 
Recommended Donations: Sailing School $50-100 per person
          Race Week $25-75 per person
 
Questions?  Call
Send application and donations to:

Petit Manan Yacht Club
P.O. Box 273
Milbridge, ME 04658

Note: If you're late applying bring release to your first class, send donations to the address above.

Back to the PCYC Website (www.pm-yc.com)

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