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2009 YOUTH SAILING REGISTRATION FORM For more information or to register by phone: Call (813) 956-1642 anytime
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I am interested in enrolling my child in the youth sailing program
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I don't have a child that would benefit from the program, but please accept my donation so that an underprivileged child can enroll.
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Have someone call me regarding becoming a volunteer.
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Class dates are on a first come-first sail basis
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July 13-17
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June 15-19
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August 3-7
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June 22-26
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August 10-14
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July 20-24
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July 6-10
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CLOSED
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July 27-31
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Monday - Friday 9:00 am - 3:00 pm
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Students do not have to be related to qualify for the multi-child discount but they must be registered at the same time.
Discount also applies to one child registering for more than one week.
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One Student - $250 Two Students - $225 each Three Students - $200 each
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Student #1
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age
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Student #2
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age
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Address
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Zip Code
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State
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City
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Email
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Telephone #
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Cell Phone #
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Medical Considerations
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Emergency Contact
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Phone #
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Previous Sailing Experience:
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None
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Advanced
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Basic
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How did you hear about us?
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In consideration of participating in the T.S.S. Youth Sailing Inc. Program and being aware of the risk of active sports, I agree to indemnify and hold harmless TSS Youth Sailing Inc. Program and its officers,management,actions,expenses, or liabilities which may directly or indirectly arise from my participation or my child's participation in the sailing program,including but not limited to the use of craft, on shore or off,and all facilities and equipment, including any hoists or other means of launching craft. A $15 per 1/2 hour aftercare fee will be charged after 4pm.
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I have read the above disclaimer and
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agree
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disagree with its contents.
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Parent or legal guardian
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Date
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Phone #
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Discount Code
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FLORIDA REGISTRATION# CH20470 A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.
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