Adult Learn-to-Sail Registration

  • Emergency Contact

  • Medical Info

  • i.e. allergies, blood type, history of seizures, and any current medication.
  • Using any stroke, swim approximately 50 yards, tread water for 20 seconds and put on a PDF.
  • Health Insurance

  • IMPORTANT

    This part must be complete for attendance.
  • Permission to Provide Necessary Treatment of Emergency Care:

    I hereby give permission to the medical personnel selected by the program director to order x-rays, routine tests, or treatment; to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for me. If I am unable to communicate and my emergency contact cannot be reached in an emergency, I hereby give permission to the physician selected by the program director to secure and administer treatment, including hospitalization, for me.