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Sailing rates for 2010
Individual membership is
$40 per member. One staff person, family or friend may come at no
additional charge. Any regular attending third person must become a member
at $40 per season. Any occasional third person should donate $10 per sail,
$5 for a child.
The group rates are $40 per sail. For example 10 sails for a season will
cost $400. Two boats per week will cost $80 per week.
Call 860 304 6588
for questions or scheduling your sails.
Please make checks payable to: Sail Connecticut Access Program. Complete
the forms below and send to:
Sail Access CT Access Program
c/o Debbie Ballou
1 Riverside Court
Guilford, CT 06437
Make a copy and complete (handwrite) the information below. With your
check mail your information to Debbie Ballou.
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Name
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Date
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Address
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Apt. No.
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City, State
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Zip
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Home Telephone
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E-mail
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Work Phone
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______________________________
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Disability
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______________________________
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Able-bodied
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I would like to assist with
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Publicity
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Volunteer Skippers/Mates/instructor
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Fundraising
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Boat maintenance
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Sail Training
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Please have someone call me to discuss Sail
Connecticut further
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Where did you hear about Sail Connecticut?
____________________________________________
Would you be interested in taking sailing lessons? yes/no
Racing? yes/no
2) Personal Information Sheet
Name ____________________ Age ___________
If disabled, the nature of your disability(s)
Do you have any special needs we should know about?
Do you take any medication we should be aware of?
If necessary, is there a physician we should contact?
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Name
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Address
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Town
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Phone Number.
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Who should we contact in case of emergency?
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Name
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Relationship
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Phone Number
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3) RELEASE OF LIABILITY,
INDEMNITY, AND HOLD HARMLESS AGREEMENT
SAIL CONNECTICUT ACCESS PROGRAM, INC.
I understand that sailing involves
certain unavoidable risks, up to and including serious injury or death. The
safety and comfort of all participants is the first concern of Sail
Connecticut Access Program, Inc. (hereinafter called SCA), its volunteers,
employees, agents, officers, directors, and representatives. I am aware
that occasionally participants get wet or cold or both on sailing outings.
SCA has accommodations available for my
safety and comfort including hoists for boarding, seatbelts, and cockpit
seats to provide support, but I must keep each skipper informed about my
needs and limitations before I sail and whenever problems arise during
sailing. I will inform the skipper if I am unusually susceptible to cold or
heat or seasickness, or if the heeling of the boat makes me uncomfortable.
I, for myself and my heirs, release and
forever discharge from any and all claims, demands, and causes of action
which are in any way connected with my participation, now or in the future,
in any activity of SCA whether such claims, demands, and causes of action
arise from bodily or personal injury, death, or property damage (whether or
not caused by the negligence of SCA).
I agree to indemnify and hold harmless
SCA, its volunteers, employees, agents, officers, directors, and
representatives from any loss, liability, damage or cost, including
reasonable attorney's fees, they may incur due to my participation in the
activities of SCA, whether or not such loss, liability, damage or cost
results from the negligence or other action of SCA, and its volunteers,
etc.
I have read this agreement. I understand
that this agreement contains a release of all claims, demands, and causes
of action and an indemnity and hold harmless agreement and that no
representation or statement on the part of any volunteer, employee, agent,
officer, director, or representative of SCA will modify or terminate the
provisions of this agreement.
I confirm that I have read this Release,
I understand its contents, and I am signing it voluntarily.
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Signature
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Date
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Printed Name of participant
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FOR PARENTS AND GUARDIANS OF PARTICIPANTS
WHO ARE MINORS OR FOR PARTICIPANTS UNDER GUARDIANSHIP
I, the parent or legal guardian of the
participant named above, do consent to and agree with the above agreement
and do for myself and my heirs release and agree to indemnify SCA, its
volunteers, employees, agents, officers, directors, and representatives,
from any and all liabilities incident to the participation of the
participant named above in the activities of SCA.
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Signature of Parent or Legal Guardian
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Date
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4) PHOTO/MULTI-MEDIA
RELEASE
I/We
_____________________________________hereby consent that the photographs,
videotapes and/or motion picture media for which I/We pose, and/or audio
recordings of my/our voice, while participating in Sail Connecticut Access
Program activities may be used by the Sail Connecticut Access Program,
Inc., (hereafter called SCA), its assign or successors, in whatever way
they desire, including television and website; furthermore, I/We hereby
consent that such photographs, films, recordings and the plates, digital
media and/or tapes from which they are made shall be the property of SCA
and SCA has the right to sell, duplicate, reproduce and make other use of
such photographs, films recordings, plates, digital media and tapes as they
may desire free and clear of any claim whatsoever on my part.
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Name of Participant or Organization:
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If minor Child, Name of Parent(s) or Guardian(s)
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Address
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Authorizing Signature(s) of participant, Organization,
Parent(s) or Guardian(s)
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Date
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