2018Plymouth Yacht Club Jr. Sailing Registration Form

Name: ______Date of Birth: ______Sex:____

Last First M.I. Nickname

Address:______

Number Street Town Zip Code

Father’s Name: ______Mother’s Name: ______

Guardian is: Father____ Mother ____ Both____ Other____ (if other, list name and address below):

______

Telephone: Home______Work______Cell______

Email address______OK to distribute contact info to other parents/students? Yes No

T-shirt size (circle) Youth: S M L Adult: S M L XL (Info for Junior Liaisons to offer later in the season)

Fee Schedule: Please make checks payable to Plymouth Yacht Club Please circle the applicable fee

Sailing Class 420/420 Race* Opti-Race Opti Crew Mate 2 Mate 1 First Mate Learn to Sail

Member

2 week $175 $175 $200 $200 $175 $200

4 week$450 $325 $325 $325 $375 $375 $325 $375

8 week$800 $600 $600 $600 $650 $650 $600 $650

Non-member

2 week $250 $250 $300 $300 $200 $250

4 week$650 $475 $475 $475 $525 $525 $375 $425

8 week$1100 $850 $850 $850 $900 $900 $900 $700

*Includes mandatory charter fee for Club owned 420s for five (5) Program designated regattas (not including PYC Jr. Regatta). All other outside regattas with the approval of the Program Director if 420s available with a $250 damage deposit.

A limited number of Optis are provided by the Club to previously approved students for $250 for the season, all other students Opti sailors must provide their own boat.

Total Paid: $______*

*Deduct $100 deposit paid with Pre-Registration and deduct $25 per student if enrolling 2 or more; discount applies after first full paid enrollment

The following must accompany this registration:

Plymouth Yacht Club Health Record yes no

Signed Physician’s Health Certificate yes no

Photocopy of Medical Insurance Card yes no

Students may not participate in the Program until all fees and forms have been received by June 20, 2018.

PLEASE READ

In consideration of being permitted to enter the above program, being fully knowledgeable of the risks of sailing as a competitive sport, and recognizing that it shall be the responsibility of each participant/parent to decide whether to start or to continue instruction or race, I voluntarily assume the risk of participation in the same and agree to hold harmless and indemnify against all and any losses and/or claim incident thereto, the Plymouth Yacht Club, its Officers, its Committee members, and its employees conducting the instruction and/or racing. I understand that a USCG approved life vest with attached whistle is MANDATORY.

Parent/Guardian Signature ______Date______

Plymouth Yacht Club Sailing Program Requirements 2017

Plymouth Yacht Club Junior Sailing Registration Form

A fully completed Plymouth Yacht Club Jr. Sailing Registration Form with parent/guardian signature indicating the understanding of liability and mandatory program requirements must be submitted.

Medical

  1. A completed Plymouth Yacht Club Health Recordmust be completed and submitted with your registration. This form will provide the Club with emergency names and numbers, a brief medical history, and medication and allergy information that may be important should a medical emergency arise for your child.
  2. A photocopy of both sides of your Medical Insurance Cardshould accompany the registration form in order to expedite any emergency room care.
  3. A standard Physician’s Health Certificate signed by your child’s physician must accompany the registration. Massachusetts requires that all children participating in summer recreational programs receive a recent physical examination and provide a doctor’s certificate of good health. A standard medical form should be available from your doctor’s office or school. This certificate is required and will be necessary for your child to sail.

Swimming

A swimming test will administered to all students on the first day of their lessons, consisting of 50 yard swim with a lifejacket.

Equipment - Life Jackets/Whistle/Shoes

All PYC sailors will be required to wear a U.S. Coast Guard approved lifejacket with whistle attached on a lanyard (string) while on the pier or floats or in boats. Closed-toe, rubber-soled shoes, or non-skid shoes (boat shoes, sneakers or dinghy boots) are mandatory. No flip flops or Croc-type footwear are permitted.

Conduct

PYC wants its junior sailors to develop their individual strengths, to improve their skills, and to have fun while doing so in a safe environment. In order to function well, the Program requires a high standard of commitment, effort and personal conduct from it sailors. Decent, self-respecting behavior and true sportsmanship are expected of all sailors while participating in the PYC Junior Sailing Program, on Club property, or representing PYC at outside regattas.

Parent Orientation/Handbook

Parent/Guardians must attend the Junior Sailing Program Orientation Meeting on Wednesday, June 20, 2018, at 7:00 p.m., (immediately following Sailing Program Kick-Off Cookout beginning at 5:30 p.m.) if their child is participating in the Junior Sailing Program. In addition to important information being provided at the orientation, a Parent Handbook with a guide to sailing, our program and program policies will be distributed.