Spring Clinic Payment Page

Race Programs - Spring Clinic Registration

Parent/Legal Guardian Information

Name(Required)

First Last

Phone(Required)

Email(Required)

Membership Information

Send me Membership Information

Home Address(Required)

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

I am the sailor's(Required)

Parent 2/Legal Guardian

Second parent/Legal Guardian Name

First Last

Parent 2/Legal Guardian Email

Parent 2/Legal Guardian Phone

Sailor Information

Sailor Name(Required)

First Last

Sailor date of birth(Required)

Age of Sailor during Clinic(Required)

Please describe the sailors most recent racing experience: what teams, clinics, or regattas have you participated in?(Required)

Clinic Classes and Dates

Clinic Registration(Required)

RIOT and JK Sailing Advanced Optimist Clinic 1

Price:

RIOT and JK Sailing Advanced Optimist Clinic 2

Price:

RIOT and JK Sailing Advanced Optimist Clinic 3

Price:

RIOT Intermediate Racing Team

Price:

Add Optimist Coaching for Sail Newport's Youth Challenge Regatta (June 6-7)

Price:

Intro to High School Sailing Clinic 1

Price:

Intro to High School Sailing Clinic 2

Price:

Intro to High School Sailing Clinic 3

Price:

Learn to Laser: Clinic 1

Price:

Learn to Laser: Clinic 2

Price:

Advanced C420 Sunday Training

Price:

Add C420 Coaching for Sail Newport's Youth Challenge Regatta (June 6-7)

Price:

I will need a charter boat(Required)

Yes (+$525)

No (+0)

Sailing Partner's Name for Advanced C420 Sunday Training(Required)

If you do not have a partner, please write in "I Need a Partner"

Subtotal

$0.00

Student Medical Information

Physician Name(Required)

Physician Phone(Required)

Allergies(Required)

Yes

List allergies

List special medications or other notes(Required)

Yes

List special medications or other notes

Does your child have a history of, or currently have, any physical or other limitation that might prevent or challenge his/her full participation in the program?(Required)

Yes

Please describe physical or other limitations

Minor Waiver

CONSENT

I, the parent/legal guardian of the minor sailor, acknowledge and consent to the following:

I verify that my child can swim 20 yards and tread water for 3 minutes.

WAIVER OF LIABILITY AND ASSUMPTION OF THE RISK

I acknowledge that my child intends to participate as a youth sailor in the Sail Newport practices and related regattas. I specifically assert that the minor sailor will comply with the RRS of Sailing and rules and regulations of the event. I will make certain that my child is provided with a Coast Guard approved life jacket, or home country equivalent and will wear it at all times while on the docks or on the water. I am aware that participation in a sailing event presents the risk of serious injury and even death and assume said risks for my child with respect to practicing or participating in a Sail Newport sailing event either on the water, on the docks or on shore. I agree to indemnify and hold harmless the State of Rhode Island, and Sail Newport Inc. and the Ida Lewis Yacht Club and their respective officers, directors, members, affiliates, employees, sponsors, staff, volunteers and helpers for all claims of any persons for damages or personal injury whatsoever that may be sustained or caused by my child while participating in any activity of Sail Newport, Inc., or using Fort Adams State Park. In accordance with section 7-6-22 of the Rhode Island General Laws, entitled "EXEMPTION FROM LIABILITY."

MEDICAL AUTHORIZATION

I the parent or legal guardian of the above named, a minor, do hereby authorize and consent to such medical or dental treatment services or care which are necessary or appropriate for my child, including the selection of medical personnel and facilities and transportation or transfer of my child to such facilities and in connection with such treatment, services and/or care, to authorize and consent in my name and on my behalf to such emergency or necessary surgery, diagnostic or corrective, as they may determine to be necessary for the life, health or well being of my child, after reasonable consultation with duly licensed physicians, surgeons and /or dentists. It is understood that reasonable effort shall be made to contact the undersigned prior to rendering treatment of my child but that any of the above treatment will not be withheld if the undersigned cannot be reached.

CONSENT TO BE PHOTOGRAPHED

I understand that by my child participating in a Sail Newport program or regatta, it automatically grants to Sail Newport, any organizing authority and its sponsors the right in perpetuity to make, use and show, from time to time at their discretion, any motion pictures and live, taped or filmed television and other reproductions of him or her during the period of the program and competitions without compensation.

COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal and state governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of a certain number of people. I agree to abide by the COVID policies and guidelines to keep myself, my child(ren), and SN staff safe.

SN has put in place preventative measures to reduce the spread of COVID-19; however, SN cannot guarantee that you or your minor child(ren) will not become infected with COVID-19. Further, attending SN could increase you and your minor child(rens')'s risk of contracting COVID-19.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I and my minor child(ren) may be exposed to or infected by COVID-19 by attending SN and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at SN may result from the actions, omissions, or negligence of myself and others, including, but not limited to, SN employees, volunteers, and program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself, my child(ren)(including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I, and my child(ren) may experience or incur in connection with their attendance at SN or participation in SN programming (“Claims”). On my behalf, and on behalf of my child(ren), I hereby release, covenant not to sue, discharge, and hold harmless SN, DEM and The State of Rhode Island, their employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of SN, DEM, or the State of Rhode Island, their employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any SN activity.

I agree to the terms of this document. I am voluntarily signing on behalf of my minor child.

Agreement(Required)

I agree

Payment

How will you be paying for the clinic(s)?(Required)

Billing Information

Address(Required)

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

Please consider a donation to Sail Newport!

We are so pleased to have you as part of our community, and hope you will consider further supporting our mission by including a tax-deductible contribution to our Annual Fund with your payment. Thank you!

Coupon Code

Payment Method(Required)

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Total (Pay In Full)

Financial Aid Application

Sail Newport's Financial Aid Fund provides financial assistance to families that cannot otherwise afford the cost of our sailing programs. Providing a W-2 and dependent information allows us to better understand your specific need. If you are experiencing financial hardship, please use the space provided to explain. Our goal is to provide financial aid support to every qualifying child and family.

Household Weekly take home income(Required)

Number of dependent children in family(Required)

Additional Information

Please provide any additional information that would help determine the need. Thank you.

W-2 File Upload(Required)

Please upload a copy of your most recent W-2 using this button. Your W-2 will not be saved in our system. If you do not feel comfortable uploading your W-2 here, then please email a copy of your W-2 to [email protected] Your application will not be considered complete with a copy of your most recent W-2.

Max. file size: 2 MB.

Agreement(Required)

I certify that all information provided is true