Treasure Coast Youth Sailing

Registration Form

PLEASE COMPLETE FORM BELOW

YOU CAN PAY FOR MULTIPLE SAILORS AT ONE TIME, HOWEVER EACH WILL NEED THEIR OWN REGISTRATION FORM COMPLETED.

PAYMENT BUTTON WILL APPEAR AFTER SUBMISSION.

2018 Sailing Registration

  • Sailor Information

  • Personal Information




  • Classes Mon-Fri (8:30 AM to 4:30 PM).

    Discount:
    If 2 weeks, cost for second weeks is $225.00 - $250.00 if lunch is included.
    If 3 weeks or more, cost for each additional week is $150.00 - $175.00 if lunch is included.

    Students must be able to demonstrate their ability to swim as a condition of enrollment. In addition, we may move you to a different class depending on weight.
  • Class Selection

    As classes fill up quickly, please show preferred class as 1, 2, 3.
  • Parent / Guardian Information

  • (IF DIFFERENT THAN STUDENT)
  • Alternate Parent/Guardian if applicable

  • Student Emergency medication information

  • Emergency Contact

    Who should be contacted in case of an emergency during class hours other than parent/guardian? In calling order, phone #/ label (work, home, cell, etc).
  • I , the undersigned parent/guardian of the aforementioned STUDENT, a minor child, do hereby consent to any emergency X-ray, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by, and is rendered by or under the general or special supervision of any physician and/or surgeon licensed by a recognized state approved licensing authority. It is understood that 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 the aforesaid agent(s) to give specific consent to any and all such diagnosis, treatment, or hospital care which the aforesaid agent(s) in the exercise of his/her best judgment may deem advisable; and neither said agent(s) nor any individual or organization involved assumes any financial responsibility for exercising this action. This authorization is given pursuant to the laws and statutes of the State of Florida and is to be considered effective in any state or other location where the STUDENT is participating in TCYSF sponsored or approved activity. By submitting to this form, you agree to these conditions.
  • By submitting this application, you hereby agree to our waiver. For more information on the waiver click here.
  • AFTER SUBMITTING THIS FORM YOU WILL HAVE THE OPPORTUNITY TO PAY FOR ONE OR MORE SESSIONS.

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

 

Treasure Coast Youth Sailing Foundation
FDAC Registration Number: CH19849

Disclosure Statement

“A copy of the Foundation’s official registration and financial information may be obtained from the Division of Consumer Services by calling toll-free within the state. Registration does not imply endorsement, approval, or recommendation by the state.”

Division of Consumer Services:     1-800-HELP-FLA (435-7352)     http://www.floridaconsumerhelp.com