Bellingham Yacht Club Youth Sailing | 2017 BYC Youth Race Team Registration Form

Applicant Information

Name*

Enter name of the youth applicant.

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell/Emergency Phone*

Primary Contact Phone Number (Daytime)

Birth Date*

Min. Age - 8 yrs.

MM

DD

YYYY

Weight

(Pounds)

Email*

Primary Contact Email

Enter Email Confirm Email

School

Name of Applicant's School

Sailing Experience*

Choose appropriate experience level.

Beginner
Intermediate
Advanced

Swimming Experience*

Choose appropriate experience level.

Beginner
Intermediate
Advanced

Allergies and/or Relevant Medical Conditions of Concern:

(Diabetes, Epilepsy, Heart Disease and history of Hypothermia are generally considered relevant to cold water sports.)

Contact Information

Parent/Guardian Name*

Daytime Phone*

Evening Phone*

Parent/Guardian Name

Daytime Phone

Evening Phone

Emergency Contact Name

Daytime Phone

Evening Phone

Emergency Contact Name

Daytime Phone

Evening Phone

Applicant's Physician

Daytime Phone

Applicant Acceptance/Acknowledgement

I, the above-named Applicant, do hereby agree to adhere to the bylaws, rules and/or policies of the Bellingham Yacht Club. I understand that my failure to do so will jeopardize my ability to continue to participate in Club activities, including training and racing. I agree to treat Club property, including boats, with care and to follow all safety and other practices required by the Club, its officers, trustees, volunteers or employees. By joining the race team you are also eligible to become a Junior Instructor. Being a JI helps you attain the knowledge and practical skills useful for becoming a certified instructor under the direction of our current instructor team. Contact the Youth Sailing Director for more information.

Acceptance*

I accept the above statement.

Acceptance Date*

Parent/Guardian Approval/Waiver

The Parent/Guardian of the Student is required to read the "Release of Liability, Waiver of Right to Sue and Agreement to Indemnify and Hold Harmless" document and print and sign a copy of the document and return it to the BYC. The signed copy of the waiver must be received by the BYC before the student can participate in any class. The waiver can be brought to the first day of class. If the Parent/Guardian is registering more than one student, a copy of the waiver must be submitted for each student. I also agree to allow use of any photos taken of the participant during the class to be used for Bellingham Yacht Club promotional purposes, including, but not limited to use on the BYC website and promotional flyers.

Parent/Guardian*

Acceptance*

I accept the above statement.

Date*

How did you hear about us?*

Family or Friend
Bellingham Leisure Guide
Poster
Other

Other

2017 BYC Race Team Registration Form

Step 1 of 2

2017 Opti and Advanced Team Membership Options

Level 1 - Advanced Race Membership - Opti/FJ/Laser/29er $250

Level 2 Race Team Membership $475 (a $25 savings)

Level 3 Race Team Membership $650 (a $100 savings)

Payment Options

BYC Race Team