Sailing Camp - Kayak Camp - Both Camps

Adult / Parent Information
First Name:	Last Name:
Address:
City:
State: Zip:
Daytime Telephone Number:
Evening Telephone Number:
Emergency Contact:
Relationship to Child:
Emergency Phone Number: :
Your E-mail address:
How did you hear about us? Internet Newspaper Television Magazine Radio Friend-Referral Other

* We will not sell or distribute your e-mail address to anyone. It is for our internal use only.

Youth / Camper Information
Child’s Name:
Date of Birth: Age: Male Female
Height: Weight:
T-Shirt Size Pick One Small Medium Large Extra Large
Child’s Physician
Physicians Telephone:
Allergies or Medication:
Physical Restrictions:
Insurance Co.
Carrier I.D. #
Please Indicate (in the box below) the week #(s) and name(s) of any Sailing/Kayak camp partners your child may want to be with. Also please type any additional information you feel we should know here.
Enter Requested Session Schedule, friends to be grouped with, and any additional information we should know here.
2012 Camp Schedule Kayak Camp: 8:30 a.m. to 12:30 p.m. Sailing Camp: 1:00 p.m. to 5:00 p.m.
Week Number Session Dates     Week 1 : June 18 - June 22 Week 2: June 25 - June 29 Week 3: July 2 - July 6 Week 4: July 9 - July 13 Week 5: July 16 - July 20 Week 6: July 23 - July 27 Week 7: July 30 - August 3 Week 8: August 6 - August 10 Week 9: August 13 - August 17 Week 10: August 20 - August 24   Payment Information ~ Cost Per Child, Per Camp Kayak Camp & Sailing Camp Costs Public:  $175  ~ Club Members: $155.00  * Price includes tax After you submit this form, you will proceed to Step Two to pay for your child's camp online. If you'd rather, you can mail us your check or call us at (805)962-2826 to submit your credit card information. Please make checks payable to "SBSC", or call us at 805-962-2826 x102 to pay by credit card. All Sails are Final and 100% NON-Refundable.

MANDATORY WAIVER FOR PARTICIPATION IN
SUMMER CAMPS OR PROGRAMS

I, the parent or legal guardian of the youth named above, being of lawful age, knowingly and voluntarily state and agree as follows: In consideration of the opportunity for the youth named above's participation being accepted and intending to be legally bound, I do hereby for myself, on behalf of my children, and for my heirs, executors, administrators, successors and assigns, release, waive and forever discharge the Santa Barbara Sailing Center employees from any and all claims actions, damages, costs, judgments or liability whatsoever, which I or my children now have or which may hereafter accrue to me or my children on account of or in any way growing out of any and all known and unknown, foreseen and unforeseen, bodily and personal injuries, property damage and the consequences thereof resulting from or to result from participation in The Santa Barbara Sailing Center’s Summer Kids Camp.

I understand that in signing this agreement, I am releasing the Sailing Center from any and all claims for personal injuries or property damage that may be incurred as a result of my child participating if the above described event, even if such injuries or damage were caused by the negligence of the Sailing Center employees. I further understand and agree that in signing this document all my rights and my child(ren)’s rights under section 1542 of the Civil Code of California are also expressly waived. That section reads: A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which is known by him to have materially affected his settlement with the debtor.

I acknowledge that no representation of fact or opinion has been made by the Santa Barbara Sailing Center, or any of its officers, employees, or agents to induce this release on my part, and that I have signed this release freely and voluntarily, after having read it complete, and with the full knowledge of any right or privileges that I may be waiving or releasing.

By clicking below I understand that there is a 100% non-refundable policy for all Santa Barbara Sailing Center's Kid's Camps. I also, acknowledge that my child has basic knowledge of swimming and feels comfortable in an ocean environment.

After you submit this form, you will proceed to Step Two to pay for your child's camp online.

You will be able to add multiple camps during the online payment process.