Sailing School Class Registration Child's Name* First Last Child's Height* Child's Weight* Date Of Birth* MM slash DD slash YYYY Child MUST Be 8 Years of Age or Older by August 31st of this yearChild's Age*Please enter a number from 8 to 22.For now we do not accept registrants under 8 years old.Parent's Name* First Last Summer Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Summer Phone*The Summer Phone number is the PRIMARY number we will use while your child is enrolled at camp.Cell PhoneWinter Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Winter Phone*Parent's Email* Emergency Contacts/Authorized Pickup Parents cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. At least one person listed must be within one hour of the center/home, able to take responsibility for the child in case the parent/guardian cannot be contacted and should be at least 18 years of age. The first emergency contact must live no more than 1 hour away and be over the age of 18.Emergency Contact Name* Emergency Contact Phone*Relationship To Child* Classes*Registration is open to all students age 8 - 18. The board and staff have the discretion to assign or re-assign students based on mission, curricula, class and school capacity. Registration will be granted first to those with complete applications, including all forms and payment. Applications will be confirmed by notice. A student will be permitted to continue in the program as long as the student adheres to safety and discipline policies. To be added to our waitlist for classes that appear to be booked out - please visit our Waiting List page and add your name. A staff member will contact you if an opening becomes available.Register for Class: (programs that are full cannot be selected)* Learn-to-Sail Widgeons Learn-to-Sail Optimists Learn-to-Sail 420s Advanced, Intermediate, and Racing Widgeons Intermediate and Racing Optimists Intermediate and Racing 420s Check if you will bring your own Optimist and qualify for the 20% discount on your main program Yes Learn-to-Sail Widgeons Dates:Choose Class Week(s) Desired: (weeks that are full cannot be selected) Week 1 June 29 - July 2 Week 2 July 6 - July 9 Week 3 July 13- July 16 Week 4 July 20- July 23 Week 5 July 27 - July 30 Week 6 Aug 3 - Aug 6 Week 7 Aug 10 - Aug 13 Week 8 Aug 17- Aug 20 Learn-to-Sail Optimists Dates:Choose Class Week(s) Desired: (weeks that are full cannot be selected) Week 1 June 29 - July 2 Week 2 July 6 - July 9 Week 3 July 13- July 16 Week 4 July 20 July 23 Week 5 July 27- July 30 Week 6 Aug 3 - Aug 6 Week 7 Aug 10 - Aug 13 Week 8 Aug 17 - Aug 20 Learn-to-Sail Optimists Dates (20% Discount):Choose Class Week(s) Desired: (weeks that are full cannot be selected) Week 1 June 29 - July 2 Week 2 July 6 - July 9 Week 3 July 13- July 16 Week 4 July 20 - July 23 Week 5 July 27 - July 30 Week 6 Aug 3- Aug 6 Week 7 Aug 10 - Aug 13 Week 8 Aug 17 - Aug 20 Learn-to-Sail 420s Dates:Choose Class Week(s) Desired: (weeks that are full cannot be selected) Week 1 June 29 - July 2 Week 2 July 6 - July 9 Week 3 July 13 - July 16 Week 4 July 20 - July 23 Week 5 July 27 - July 30 Week 6 Aug 3 - Aug 6 Week 7 Aug 10 - Aug 13 Week 8 Aug 17 - Aug 20 Advanced, Intermediate, and Racing Widgeons Dates:Choose Class Week(s) Desired: (weeks that are full cannot be selected) Week 1 June 29 - July 2 Week 2 July 6 - July 9 Week 3 July 13 - July 16 Week 4 July 20 - July 23 Week 5 July 27 - July 30 Week 6 Aug 3 - Aug 6 Week 7 Aug 10 - Aug 13 Week 8 Aug 17 - Aug 20 Intermediate and Racing Optimists Dates:Choose Class Week(s) Desired: (weeks that are full cannot be selected) Week 1 June 29 - July 2 Week 2 July 6 - July 9 Week 3 July 13 - July 16 Week 4 July 20 - July 23 Week 5 July 27 - July 30 Week 6 Aug 3 - Aug 6 Week 7 Aug 10 - Aug 13 Week 8 Aug 17 - Aug 20 Intermediate and Racing Optimists Dates (20% Discount):Choose Class Week(s) Desired: (weeks that are full cannot be selected) Week 1 June 29 - July 2 Week 2 July 6 - July 9 Week 3 July 13 - July 16 Week 4 July 20 -July 23 Week 5 July 27- July 30 Week 6 Aug 3 - Aug 6 Week 7 Aug 10 - Aug 13 Week 8 Aug 17 - Aug 20 Intermediate and Racing 420s Dates:Choose Class Week(s) Desired: (weeks that are full cannot be selected) Week 1 June 29 - July 2 Week 2 July 6 - July 9 Week 3 July 13 - July 16 Week 4 July 20 - July 23 Week 5 July 27 - July 30 Week 6 Aug 3 - Aug 6 Week 7 Aug 10 - Aug 13 Week 8 Aug 17 - Aug 20 These are additional programs offered this season Private Lessons Whether your student is looking to learn the basics of sailing or you'd like focused instruction in specific skills, BSS offers private instruction. All lessons are held in our Widgeons, and instructors can take up to three students on the water for afternoon lessons. Class content will be determined based on a student's experience and the desired level of instruction. All private lessons are per day and are 3 hours in length. You may be book Private Lessons for multiple days. Private lessons are not meant to replace regular classes. Availability for Private Lessons depends on staff and fleet availability and will vary weekly. For that reason, BSS cannot confirm availability until regular weekly sailing classes begin. Fees are $195 for a single session with up to two students and $210 for a single session with three students. Please contact BSS directly to discuss needs and to book space at sailinginfo@buzzardssailing.org, or during the summer season at (508) 563-9757. For those adults seeking private lessons, please contact the Buzzards Yacht Club, info@buzzardsyc.org.Medical Information and ReleasePlease check those that apply and provide necessary details in the space below.Chronic Ailments Asthma or other respiratory problems Circulatory or heart problems Diabetes or hypoglycemia Hemophilia or other bleeding problems Epilepsy AllergiesAllergies Bee stings or other insect bites Foods (specify which in text box below) Others (specify in text box below) Provide additional SPECIFIC information For Food & Other AllergiesDate of last Tetanus shot MM slash DD slash YYYY Leave Blank if camper is not yet 10 years of ageCurrent medication(s):Parent and/or Guardian:* Preferred personal or family physician: Physician PhoneHealth Insurance Company Policy Holder Name Policy Number In consideration of my participation in the Buzzards Sailing School and Buzzard Yacht Club programs, I acknowledge, appreciate, and agree that: 1. I risk bodily injury, including disability and death as well as the risk of damage to or loss of property; 2. I knowingly and freely assume all such risks, both known and unknown; 3. I, for myself, and on behalf of my heirs, assigns, personal representatives, and next of kin, hereby release, hold harmless and promise not to sue the Buzzards Sailing School, Inc. or any of its officers, directors, agents or employees with respect to injuries or loss of property from my participation even though such injury or loss of property may arise out of negligence or carelessness on the part of the persons or entities mentioned above. 4. During windy days the Sailing Director will make the final decision about whether to conduct a class on the water. A student/parent/guardian has the unrestricted right to choose not to sail. If a student/parent/guardian decides that the student will not sail, the student should be picked up immediately as the remainder of the class will be on the water sailing. A student who is on the water and later decides to leave the water will be escorted by staff to shore where the student will properly de-rig their boat, store equipment and make contact to be picked up immediately. When the student makes it to shore, the staff member will return immediately to class to supervise the students on the water. Students returning to shore are not permitted to remain unsupervised at the clubhouse and must be collected by their parent/guardian. By typing my name below and checking the indicated box, I agree that I have read this Release of Liability and Waiver Agreement and that I fully understand its terms and agree to it freely and voluntarily. I further authorize the Buzzards Sailing School (BSS) and/or the Buzzards Yacht Club (BYC) organizers or staff members to sanction emergency treatment if a parent/guardian listed above cannot be contacted at the time of an emergency. * I understand the terms of the Release of Liability and Waiver AgreementParent and/or Guardian:* From time to time, the BSS and/or BYC may post pictures of sailors or race results by racer's name and fleet. If you do not wish your student to be included in this activity, please check belowPhoto Release* YES I allow my student's picture and/or name and race results posted. NO I do not want my student's picture and/or name and race results posted. Parent and/or Guardian:* Equipment Respect and Replacement Policy Sailing is an intensely equipment dependent sport. BSS provides high-quality vessels for its students. The trained and competent staff teaches the proper rigging, launching, and recovery of all boats. This instruction includes but is not limited to the securing of spinnaker poles, sprit poles, and rudders. BSS students shall, without any compromise, respect BSS boats, and equipment. It is the policy of BSS that boats never collide. If damage or loss occurs due to negligence, or intentional conduct of a student, it shall be the responsibility of the student and his/her family to repair boats or replace equipment at the discretion and direction of BSS. BSS at its sole discretion may elect to use insurance and shall seek deductible reimbursement and premium penalties. The Sailing Director and/or Program Administrator shall make the determination if a violation of the above policy occurred. Further, if a student intentionally sails into another boat or object during class, including racing, the Sailing Director and/or Program Administrator may order a student off the water, and may direct the student to be excluded from BSS. No damage need occur to vessels for expulsion.* I understand the terms of the Equipment Respect and Replacement PolicyParent and/or Guardian:* Buzzards GearClick add product to purchase anything from our store.Products Total Price: $0.00 Donate* Please Help Support BSS - any amount is welcome! Or if you choose not to donate please enter zero.Buzzards Yacht Club Junior Membership The BYC is committed to promoting junior sailing/racing and is excited to offer a new BYC Junior Membership for 12 to 21-year-olds whose parents are not already members of the BYC. Junior membership includes: An invitation to age-appropriate BYC events including the Chowder Race and the Fun Race Inclusion on crew lists for the PHRF and Senior Series races Complimentary Wicking Tee: a long sleeve, wicking t-shirt. Please select size below Buzzards Yacht Club Jr. Membership Price: $25.00 Quantity: Total $0.00 BYC Jr. Membership T-shirt sizeYouth SmallYouth MediumYouth LargeYouth XLAdult SmallAdult MediumAdult LargeAdult XLPlease select applicable t-shirt size when selecting junior membershipBilling Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country CAPTCHAProduct Name Price: $0.00 Quantity: Product Name Price: $0.00 Quantity: Product Name Price: $0.00 Quantity: OptionFirst OptionSecond OptionThird OptionProduct Name Price: $0.00 Quantity: Product Name Price: $0.00 Quantity: Product Name Price: $0.00 Quantity: Product Name Price: $0.00 Quantity:
