Regatta Point

Summer Camp Online Sign-Up

Regatta Point Community Sailing Summer Camp Registration Form
Participant Name:		Parent Name:
Address:		Home Phone:
		Day Phone:
Parent Email Address:
Participant Date of Birth:
Where did you hear about us?:
Please select one or more of the following sessions. Each Session is $199.
Session Week 1	June 21 - June 25
Session Week 2	June 28 - July 2
Session Week 3	July 5 - July 9
Session Week 4	July 12 - July 16
Session Week 5	July 19 - July 23
Session Week 6	July 26 - July 30
Session Week 7	August 2 - August 8
Session Week 8	August 9 - August 13
Session Week 9	August 16 - August 20
Release of Liability The participant and parent are aware of the risks and physical demand inherent in the active, deepwater sport of sailing. The participant is in good physical health and proper physical condition to participate in such an activity. The participant and parent fully accept and assume all risks and responsibility for losses, costs, and damages incurred as a result of participation in this activity and agree to save and hold harmless Regatta Point Community Sailing Incorporated, and any and all officers, agents, employees thereof, from liabilities and cost arising directly or indirectly from this participation. The participant is able to provide proof that he/she is a competent swimmer who may safely take part in a deepwater boating program wherein participants may unexpectedly be required to stay afloat or swim a considerable distance through deep water to safety.
Parent/Guardian Initial
Participant Initial
Emergency Authorization/Restrictions I hereby give permission to the medical personnel selected by the program director to order x-rays and routine tests for my child and in the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the program director to hospitalize and secure proper treatment for my child. My child has permission to engage in all program activities except as noted below.
Parent/Guardian Initial
Photo Release I hereby grant permission to RPCS or assigns (photographer) the irrevocable right and unrestricted permission with respect to photographic images or my child at RPCS, on boats or docks, or in which my child may be included with others, to use and/or publish individually or in conjunction with any printed matter, in and all media, and for any legal purpose whatsoever, including, but not limited to illustration, promotion, exhibition, publication advertising and trade. Furthermore, I consider RPCS the sole and complete owner of any such photographs. I warrant I have the right to authorize these uses and hereby agree to hold RPCS harmless of any and all liability in perpetuity.
Parent/Guardian Initial
Pick up Authorization Please list below all persons allowed to pick up your children. Persons not on this list will not be allowed to pick up your child.




Parent/Guardian Initial
I Understand	I understand that Camp cancellations will be issued a full refund less a $100 deposit. The deposit can be refunded to a RPCS, Inc. credit good towards any program.