PONTCHARTRAIN YACHT CLUB

SUMMER SAILING CAMP 2008

1501 Lakeshore Dr. , Mandeville , LA   70448

P.O. Box 633 , Mandeville , LA   70470

(985) 626-3192

 

Monday – Friday*

8:30am – 3:30pm

Ages 8 –17

 

 

SESSION # 1 *           Monday, June 2 - 13

SESSION # 2             Monday, June 16 - 27

SESSION # 3 *           Monday, June 30 – July 11 *no class on Friday- July 4th

SESSION # 4 *           Monday, July 14 – July 25

SESSION # 5             Monday, July 28 – Aug 7

                                          

Limited space available per session / Lessons given by US Sailing Certified Instructors

Activities include boating safety, basic boating skills and swimming (pool).  Boats include: Sunfish, Optimist, 420’s and Flying Scots.

 

 

 

REGISTRATION FEES PER SESSION

MEMBERS – $300.OO**     NON-MEMBERS - $350.00**

10% discount applied for 2 or more children per family and/or2 or more sessions

 

**TUITION INCLUDES PIZZA ON 1ST FRIDAY + FINAL FRIDAY FAMILY COOKOUT

                                                                       

A 50% DEPOSIT IS REQUIRED per CHILD.  THE DEPOSIT IS 100% REFUNDABLE IF CANCELLATION IS RECEIVED TWO WEEKS PRIOR TO THE SESSION START DATE.

 

 

 

NAME _                                                                                                                    AGE______ DOB                                                         

 

MEMBER:  YES  ____ CLUB NAME______________            CLUB # ____  NON-MEMBER                                        

                                                                                                                                                DAY

PARENT’S NAME                                                                                                         PHONE                                                

 

ADDRESS                                                                              Zip _______________

 

SESSION                                                                             

 

ALL OF THE ABOVE MUST BE COMPLETE*

 

For more information call PYC at 626-3192.

Check our web site at www.pontyc.org/ Email: office@pontyc.org

 

*MUST BE COMPLETED ALONG WITH A CONSENT FORM & RETURNED TO THE CLUB.

 

 

Child’s Name(s): _____________________________________________________________________

 

PONTCHARTRAIN YACHT CLUB SUMMER SAILING CAMP

JUNIOR ACTIVITIES

PARENT’S CONSENT

 

WAIVER OF LIABILITY-ASSUMPTION OF RISK-INDEMNITY AGREEMENT

 

The undersigned parent or legal guardians (hereafter referred to in the singular) of __________________________________________(herein referred to as the “child”), request that the child be allowed to participate at Pontchartrain Yacht Club (herein referred to as PYC) junior activities (herein referred to as “the activities”).

 

This agreement shall remain in effect for the duration of the membership, or until the end of the activities described above or upon PYC’s receipt of written notice of the cancellations of the consent.

 

In return for the child being permitted to take part in the activities and to use the facilities and property of PYC, each of us makes the following promises and warrants the truth of the following facts:

 

1.  I am familiar with the programs included in the activities, and understand officers and employees of PYC are available to discuss the activities if I should wish additional information.  I also understand I am solely responsible for the arrival and departure of my child at the beginning and end of each day’s program.  I will not allow my child to remain on the premise of PYC after each day’s program without appropriate supervision or the written permission of PYC. I agree PYC will have no responsibility for the supervision of my child at times other than during the scheduled activities.  I will inform my child that he/she is expected to cooperate with, and follow the directions of the person(s) in charge of the activities and to act in a manner consistent with the spirit of good sportsmanship and respect the rights of others.  For the safety of my child and the other campers, if the staff is required to disciplined my child, I am aware of the following procedure:  1st time – Head Instructor to discipline by removing child from activities or assist in extra duties, 2nd time- a meeting with the head instructor, PYC Board member(junior chairperson) and parents, 3rd time – board member has the right to remove the child from camp with no refund. (PLEASE INITIAL TO INDICATE YOU HAVE READ THIS PARAGRAPH.______)

 

2.  My child is in good health, and I know of no reason why he/she would be incapable to participate in the activities.  My child knows how to swim.  I will immediately notify the designated PYC supervisor, if a change in my child’s health or other conditions would affect my child’s ability to participate in the activities.

 

3.  WAIVER OF LIABILITY:  I waive and release any right I, legal representatives and assigns may have or acquire to make a claim against, sue, attach the property of, or prosecute PYC or any of its members, directors, officers, agents, employees, and affiliated organizations (herein referred to as “the releases”) for monetary damages caused by injury to myself or damage to the property of myself arising from the participation in the activities and use of facilities and property of PYC, whether or not the injury results from the negligence or other action, except

intentional acts, of any of the releases. (Please initial to indicate you have read this paragraph. ______)

 

4.  ASSUMPTION OF RISK:  I am aware that the activities may involve maneuvering a boat, sailboard or other watercraft on deep waters in potentially hazardous conditions which may include, among other things, strong winds and high waves, sudden and unexpected immersion in deep waters and collisions with other watercraft or stationary objects, such as docks, pilings, and buoys.  With knowledge of the dangers involved, I voluntarily ask that my child be allowed to take part in the activities.  I ACCEPT ANY AND ALL RISKS TO MY CILD OF INJURY, DEATH AND PROPERTY DAMAGE ARISING FROM  PARTICIPATION IN THE ACTIVITIES AND THE USE OF THE FACILITIES AND PROPERTY OF PYC, WHETHER OR NOT CAUSED BY THE NEGLIGENCE OR OTHER ACTION, EXCEPT INTENTIONAL ACTS..  (Please initial to indicate you have read this paragraph. _____)

Continued on page 2

 

Page 2

 

5.  INDEMNITY AGRREMENT:  I agree to indemnify and hold Pontchartrain Yacht Club harmless from any loss, liability, damage or cost, including reasonable attorney fees, that may incur due to my participation in the activities and the use of the property and facilities of PYC, whether or not such loss, liability, damage or cost results from negligence or other action, except intentional acts, of any person. (Please initial to indicate you have read this paragraph. ________)

 

            I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THE AGREEMENT INCLUDES A WAIVER OF LIABILITY, AN ASSUMPTIONOF RISK AND AN AGREEMENT BY ME TO INDEMNIFY THE RELEASES, AND I SIGN IT OF MY OWN FREE WILL.

 

DATE: ________________________

 

SIGNATURE __________________________________________

 

                                                                                               

                        (PLEASE PRINT NAME)

 

AUTHORIZATION TO CONSENT TO TREATMENT FOR CHILD.

 

I ______________________________ 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 to be rendered under the general supervision of any physician and surgeon licensed under provision of the Medical Practice Act. 

 

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 of the part of our aforesaid agent (s) to give specific consent to any and all such diagnosis, treatment or hospital care, which the aforementioned physician in the exercise of his best judgment may deem advisable: and neither said agent or any organization involved assumes any financial responsibility for exercising this action.

 

 

1.  FAMILY DOCTOR ___________________________  PHONE:__________________-

2.  PERSON TO CONTACT IN EMERGENCY:  1.___________________________-

 

                                                                       PHONE__________________________

 

                                                                                  2. __________________________

 

PHONE__________________________

                                                           

3.   MEDICAL CONCERN OR ANY LEARNING DISABILITIES _______________________

 

 

 

4.   KNOWN ALLERGIES: ______________________________________________________

 

5.   HOSPITAL INSURANCE PLAN NAME & NUMBER _____________________________

 

 

 

__________________________________-

SIGNATURE

 

IMPORTANT SAIL CAMP REMINDER

 

 

PLEASE BE HERE BY 8:30A.M. EACH MORNING

 

 

THE FOLLOWING IS A LIST OF SUPPLIES NEEDED FOR CAMP:

                                               

  1. LIFEJACKET – NOT A BELT – A COMPLETE VEST                                                
  2. SUNSCREEN/HAT IF NEEDED                                                                         
  3. BOAT SHOES OR RUBBER SOLE SHOES- NO OPEN TOE SHOES ALLOWED                               
  4. TOWEL AND DRY SET OF CLOTHS IF YOU WISH                                                   
  5. PLEASE BRING LUNCH DAILY                                     
  6. A WATER BOTTLE WITH NAME                                                                                               
  7. 1ST FRIDAY IS PIZZA DAY (INCLUDED IN TUITION), 2ND FRIDAY IS BBQ DAY
  8. NO ELECTRONIC GAMES, TOYS OR CELL PHONES ARE ALLOWED AT CAMP