Sail School Registration

Contact Information
Student Name:
Age:
Birthday:
Parent/Guardian Name:
Home Phone:
Address:
Work Phone:
Cell Phone/Pager:
Email:
Emergency Contact:
Phone:
Alternate Emergency Contact:
Phone:

Beginner A

Monday, Friday 9:30-12:30
1st Session June 30-July 21
 Member ($290)
 Non-Member ($350)
2nd Session July 24-August 11
 Member ($290)
 Non-Member ($350)
Both Sessions June 29-August 11
 Member ($420)
 Non-Member ($540)

Beginner B

Tuesday, Thursday 9:30-12:30
1st Session June 29-July 20
 Member ($290)
 Non-Member ($350)
2nd Session July 25-August 10
 Member ($290)
 Non-Member ($350)
Both Sessions July 1-August 12
 Member ($420)
 Non-Member ($540)

Intermediate

Tuesday, Wednesday, Friday 1:30-4:30
1st Session June 30 -July 21
 Member ($340)
 Non-Member ($400)
2nd Session July 24-August 11
 Member ($340)
 Non-Member ($400)
Both Sessions June 30-August 11
 Member ($490)
 Non-Member ($600)

Advanced/Race Team

Monday, Thursday, Friday 1:30-5:00
1st Session June 29-July 21
 Member ($390/$415)
 Non-Member ($450/$475)
2nd Session July 24-August 11
 Member ($390/$415)
 Non-Member ($450/$455)
Both Sessions June 29-August 11
 Member ($590/$640)
 Non-Member ($700/$750)

*Race Team students pay additional $25 half session, $50 full session as indicated above.



PLEASE NOTE: Registration is incomplete without medical form and payment. Registration deadline is June 16th. Payment must bereceived by the first class or your son/daughter will not be able to participate. Minimum age of 7 years old by Session 1 Day 1.

Please make checks payable to Skaneateles Country Club; members may charge Sail School to their accounts. Members pay tax.

Questions: sccsailschool@skaneatelescc.com; SCC office: 315-685-5759





Questions-  Allison Teachout at sccsailschool@skaneatelescc.com 315-685-5759

Method of Payment
Check #:
Account:
Date:

Medical Information & Authorization
To ensure the safety of your children when involved in the Skaneateles Country Club Sail School each parent/guardian must fill out this form for each registered child. This form will be filed in the SCC Sail School office, located in the Foc’sle, as well as in the club main office. This form will accompany any child while participating in any Sail School activity off the club grounds, i.e. racing class students.

Student Name:
Allergies:
Type of Reaction:
Treatment Required:
Special Needs/Conditions:

Family Physician:
Phone:

Emergency Contact:
Relationship:
Cell Phone/Pager:
Work Phone:
Health Insurance Carrier:
ID#:
Group #:

Medical Authorization: 
The undersigned parent/guardian of (child's name) a minor, does hereby authorize the SCC Sail School Staff to act in my absence to authorize or consent to any emergency X-ray, anesthetic, medical or surgical diagnosis rendered under the general or special supervision of any physician or surgeon licensed under the provision of the Medical Practice Act. It is understood this authorization is given in advance of any specific diagnosis, treatment or hospital care being required, but is given to provide authority and power on the part of our aforesaid agent(s) to give specific consent to any and all such diagnosis, treatment or hospital care which the aforementioned physician, in the exercise of his best judgment, may deem advisable; and neither said agent or any organization involved assumes any financial responsibility for exercising this action. This authorization shall remain effective until revoked, in writing.
Parent/Guardian Signature:
Date:

Address:
Home Phone:
Work Phone:
Cell Phone/Pager

Enter Verification Code
 
 Change Code


         

Medical Form