Somers Cove Yacht Club

Sailing School

2008 Junior Sailing Application

WAIVER OF LIABILITY

UNLESS PROPERLY NOTARIZED

THIS PART SHALL BE COMPLETED IN PRESENCE OF SCYC SAILING SCHOOL REPRESENTATIVE

PRIOR TO BEGINNING SAILING INSTRUCTION

AS PARENT OR GUARDIAN OF _____________________________________________, I (WE)

RELEASE, EXCEPT FOR INSURANCE COVERAGE SPECIFICALLY PROVIDED FOR THE JUNIOR SAILING PROGRAM, THE SOMERS COVE YACHT CLUB, ANY OF ITS BUSINESS PARTNERS, OFFICERS, EMPLOYEES OR VOLUNTEERS FROM ANY CLAIM OR ACTION FOR DAMAGES, LOSS OR INJURY WHICH MAY OCCUR TO MY CHILD AS A RESULT OF THEIR USE OF FACILITIES OR PARTICIPATION IN THE SCYC SAILING SCHOOL. I ALSO RELEASE THE CLUB FROM ANY SUCH CLAIM OR ACTION BY THEIR HEIRS, ASSIGNS OR PERSONAL REPRESENTATIVE.

DATED THIS _____________________________DAY OF_________________2008

NO MEDICAL CONDITIONS, ALLERGIES, LEARNING DIFFICULTIES OR OTHER CONCERNS EXIST THAT HAVE NOT BEEN DISCUSSED WITH THE STAFF.

PARENT(S)/GUARDIAN ____________________________________________________________

Print Name(s) ____________________________________________________________

WITNESS _______________________________________________________________

Print Name _______________________________________________________________

OFFICE USE ONLY

DATE RCVD	TOTAL FEE	BALANCE DUE	BAL RECEIVED	LETTER SENT
	$150.00

SOMERS COVE YACHT CLUB

PO BOX 335, CRISFIELD, MD 21817-0335

PROGRAM DIRECTOR 410-548-5605