Youth Program Payment

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Parent/Guardian Name*

First Last

Parent/Guardian Email*

Parent/Guardian Phone*

Membership Information

Send me Membership Information

Parent/Guardian Address*

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

I am the student's*

Parent/Guardian 2 Information

Please enter additional parent contact information (if applicable).

Parent/Guardian 2 Name

First Last

Parent/Guardian 2 Email

Parent/Guardian 2 Phone

I would like to add an additional name and contact information

Yes

No

Grandparent/Friend Information

Please enter additional parent contact information (if applicable).

Grandparent/Friend Name

First Last

Grandparent/Friend Email

Grandparent/Friend Phone

Emergency Contact Name*

First Last

Emergency Contact Email*

Emergency Contact Phone*

Choose student/sibling sessions

This is not selecting session number. This is selecting the number of children participating in the summer youth program(s). This form works if you are signing up multiple children or paying for multiple sessions and wish to receive the discount. If you have 1 child is participating in 2 sessions for the Youth Dinghy Program please select option "2 Sailors in the Dinghy Session, $1575" to complete payment for both sessions.If you have 2 children participating in 1 session for the Youth Dinghy Program please select option "2 Sailors in the Dinghy Session, $1575" to complete payment for both children. Any payment-related questions can be directed to Hannah Lasorsa, [email protected]

Little Guppies Session*

Please select the number of children participating in this program.

Dinghy Session*

Please select the number of children participating in this program.

Keelboat Session*

Please select the number of children participating in this program.

Subtotal

$0.00

WAIVER OF LIABILITY, ASSUMPTION OF THE RISK, PHOTOGRAPHIC WAIVER FOR A MINOR CHILD

I am the parent or legal guardian of the minor child who will participate in the Sail Newport Youth Summer Sailing Program, agree to the following:

I, for my minor child, myself and on behalf of my family, estate, heirs, executors, administrators, successors, assigns and next of kin (collectively, “I”) voluntarily agree to assume all risks associated with my child using the Sail Newport Facility and/or participating in programs or events at Fort Adams State Park including, but not limited to, all shore-side areas, all docks and piers, and at all times while on the water. In consideration for his/her participation in any activity at SN, I hereby agree, to the fullest extent permitted by law, to waive any and all claims against and to hold harmless, release, indemnify, and covenant not to sue, SN, DEM, the State of Rhode Island, and each of their affiliated companies, entities or subsidiaries, and their partners, employees, agents, representatives, volunteers, officers, directors, officials, sponsors, donors, and advertisers (collectively, the “Releasees”), from any and all loss, claim, liability or expense (“Claims”), including but not limited to Claims for property damage, personal injury, disability, illness or death, including but not limited to Claims arising from the alleged negligence of the Releasees, and Claims arising from the use of the facility or participation on the water at Sail Newport.

PHOTOGRAPHIC WAIVER
Furthermore, I understand that by my child participating in a program at Sail Newport, I automatically grant to the organization and its sponsors the right in perpetuity to make, use and show, from time to time at their discretion, any motion pictures and live, recorded or filmed television and other reproductions of him/her during the period of participation or thereafter without compensation.

ACCEPTANCE
I understand that by indicating my acceptance of this form I am the parent or legal guardian of the above-named minor, and I am creating a legally binding document and agree to be bound by the laws of R.I. where my child will participate in a Sail Newport program.

Please consult legal advice for further clarification. Do not proceed with this form if you are not in agreement with its terms.

I agree*

I am the parent/legal guardian of the above-named student and I agree to the terms of this waiver

Parent/Guardian 2 Information

Grandparent/Friend Information

Sibling 1

Sibling 2

Sibling 3

Choose student/sibling sessions

Financial Aid Application