Sailing Lesson Registration | Saginaw Bay Community Sailing Association (SBCSA)

Sailing Class Registration FORM

Please complete the form below to register for Saginaw Bay Community Sailing Association's sailing lessons. Payment by credit card will be required to submit your registration online.

If you would prefer to pay by check, please download the paper application (PDF) and mail it to SBCSA following the instructions on the form.

SBCSA Sailing Lesson Registration

Lesson Type(Required)

Youth Introduction I (Member) - $80.00

Youth Introduction I (Non-Member) - $100.00

Youth Introduction II (Member) - $80.00

Youth Introduction II (Non-Member) - $100.00

Intermediate Youth (Member) - $125.00

Intermediate Youth (Non-Member) - $150.00

Advanced Youth (Member) - $125.00

Advanced Youth (Non-Member) - $150.00

Adult Introduction (Member) - $200.00

Adult Introduction (Non-Member) - $250.00

Desired Session Number

First Choice Second Choice

How did you learn of the SBCSA?

Name(Required)

First Middle Last

Date of Birth

Month

Day

Year

Must be at least 8 years old to join

Address(Required)

Street Address City State ZIP Code

Primary Phone(Required)

Alternate Phone

Email(Required)

Comments

Students under the age of 18

If the student is under the age of 18, please complete this section. Click on the + sign to the right to add more contacts. List at least two persons.

Emergency Contacts(Required)

Name

Phone

Relationship

Persons authorized to pick up student(Required)

Name

Phone

Relationship

Student Requirements

By checking the items below, the student or parent /guardian agrees that the student meets these minimum requirements.

I agree that the student meets these minimum requirements(Required)

Must be a minimum of 8 years old

Must be able to swim with the aid of a life jacket

Must be physically able to right a capsized boat.

Health

Known health issues we should know about:

Prescription medications we should know about:

Assumption of Risk for Personal Loss and Injury and Release of Liability

I fully understand that participation in the Saginaw Bay Community Sailing Association may involve risk of personal loss and/or injury and hereby agree to assume full responsibility for loss and/or injury which may result from participation in the sailing program and associated activities. I agree to hold the SBCSA and its officers, volunteers, and employees free from liability for said injury and/or loss.

Agree to assume risk(Required)

I have read and agree to the statement above

Photo Release

Check the appropriate box below to give or withhold permission for the SBCSA to use photographs or videos that may include the student in the SBCSA's electronic and print media for promotional purposes.

Consent to photo release(Required)

I consent to the Photo Release

I do NOT consent to the Photo Release

TOTAL

This is the amount that will be charged to your credit card.

Credit Card(Required)

The expiration date and CVC security code are both required. You'll find them in the fields to the right of the card number.

Card Details

Cardholder Name

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Comments

This field is for validation purposes and should be left unchanged.