2008 YOUTH SAILING REGISTRATION FORM
For more information or to register by phone:
Call (813) 956-1642 anytime
Class location: Tampa Sailing Squadron at Apollo Beach
For more information or to register by phone:
Call (813) 956-1642 anytime
Class location: Tampa Sailing Squadron at Apollo Beach
Circle one
1) I am interested in enrolling my child in the youth sailing program
2) I don't have a child that would benefit from the program,but please accept my
donation so that an underprivileged child can enroll.
3) Have someone call me regarding becoming a volunteer.
1) I am interested in enrolling my child in the youth sailing program
2) I don't have a child that would benefit from the program,but please accept my
donation so that an underprivileged child can enroll.
3) Have someone call me regarding becoming a volunteer.
Class dates: Please circle one ( class dates are on a first come-first sail basis)
1) June 9th-13th 2) June 16th-20th 3)June 23rd-27th 4) July 7th-11th
5) July 14th-18th 6) July 21st-25th 7) July 28th-Aug 1st 8) Aug 4th-8th
9) Aug 11th-15th
1) June 9th-13th 2) June 16th-20th 3)June 23rd-27th 4) July 7th-11th
5) July 14th-18th 6) July 21st-25th 7) July 28th-Aug 1st 8) Aug 4th-8th
9) Aug 11th-15th
Student #1_______________________ age( ) Student #2___________________ age ( )
Address______________________________________________________________________
City________________________ State______________________________ zip ___________
Telephone# _____________________ E-mail address ____________________________
Medical considerations ________________________________________________________
Address______________________________________________________________________
City________________________ State______________________________ zip ___________
Telephone# _____________________ E-mail address ____________________________
Medical considerations ________________________________________________________
Previous sailing experience (circle one) Shirt size ( circle one)
1) none 2) basic 3) advanced 1) small 2) med. 3) large 4) x-large
Cost: one week camp (30 hours) $250.00 (9:00-3:30 Mon. - Fri.) multi-child discounts available
Where did you hear about us? _______________________________________________
1) none 2) basic 3) advanced 1) small 2) med. 3) large 4) x-large
Cost: one week camp (30 hours) $250.00 (9:00-3:30 Mon. - Fri.) multi-child discounts available
Where did you hear about us? _______________________________________________
Emergency contact __________________________ phone# ___________________________
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.
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.
Signature __________________________________ Date _____________________
Parent or legal guardian Phone# _______________________
Relationship to child ____________________________________________________________
Mail registration form and payment to: TSS Youth sailing 235 Apollo Bch Blvd. Box 101 Apollo
Bch.Fl. 33572
Parent or legal guardian Phone# _______________________
Relationship to child ____________________________________________________________
Mail registration form and payment to: TSS Youth sailing 235 Apollo Bch Blvd. Box 101 Apollo
Bch.Fl. 33572
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