NERYC Summer Learn To Sail Program 2010
EARLY REGISTRATION IS ESSENTIAL NERYC SUMMER JUNIOR SAILING PROGRAM 2010 REGISTRATION REQUEST FORM Use your Tab key to navigate and complete the form. (Note: This form is optimized for Internet Explorer and may not display correctly on other browsers. ) PARENT/GUARDIAN DETAILS PARENT/GUARDIAN NAME (FIRST): (LAST): ADDRESS: CITY: STATE: ZIP: CELL PHONE: PARENT EMAIL: NERYC CLUB MEMBER Select Yes No (Please select yes or no) HOW DID YOU FIND OUT ABOUT THE CAMPS? PARTICIPANT & SESSION DETAILS (Enter details for each child you are registering. If you wish to register a child in more more than 4 sessions, please use the ADDITIONAL COMMENTS section below.) PLEASE NOTE: WE ONLY HAVE SPACES AVAILABLE IN SESSIONS - JULY 26TH, AUG 2ND AND 9TH. PARTICIPANT NAME1: AGE: EXPERIENCE: select BEGINNER INTERMEDIATE ADVANCED SESSION: select JUNE 14 JUNE 21 JUNE 28 JULY 5 JULY 12 JULY 19 JULY 26 Aug 2 AUG 9 SESSION: select JUNE 14 JUNE 21 JUNE 28 JULY 5 JULY 12 JULY 19 JULY 26 AUG 2 AUG 9 SESSION: select JUNE 14 JUNE 21 JUNE 28 JULY 5 JULY 12 JULY 19 JULY 26 Aug 2 AUG 9 SESSION: select JUNE 14 JUNE 21 JUNE 28 JULY 5 JULY 12 JULY 19 JULY 26 Aug 2 AUG 9 ADD T-SHIRT $10: SIZE: select Child XS Child S Child M Child L Child XL Adult S Adult M Adult L Adult XL PARTICIPANT NAME 2: AGE: EXPERIENCE: select BEGINNER INTERMEDIATE ADVANCED SESSION: select JUNE 14 JUNE 21 JUNE 28 JULY 5 JULY 12 JULY 19 JULY 26 AUG 2 AUG 9 SESSION: select JUNE 14 JUNE 21 JUNE 28 JULY 5 JULY 12 JULY 19 JULY 26 Aug 2 AUG 9 SESSION: select JUNE 14 JUNE 21 JUNE 28 JULY 5 JULY 12 JULY 19 JULY 26 Aug 2 AUG 9 SESSION: select JUNE 14 JUNE 21 JUNE 28 JULY 5 JULY 12 JULY 19 JULY 26 Aug 2 AUG 9 ADD T-SHIRT $10: SIZE: select Child XS Child S Child M Child L Child XL Adult S Adult M Adult L Adult XL PARTICIPANT NAME 3: AGE: EXPERIENCE: select BEGINNER INTERMEDIATE ADVANCED SESSION: select JUNE 14 JUNE 21 JUNE 28 JULY 5 JULY 12 JULY 19 JULY 26 AUG 2 AUG 9 SESSION: select JUNE 14 JUNE 21 JUNE 28 JULY 5 JULY 12 JULY 19 JULY 26 Aug 2 AUG 9 SESSION: select JUNE 14 JUNE 21 JUNE 28 JULY 5 JULY 12 JULY 19 JULY 26 Aug 2 AUG 9 SESSION: select JUNE 14 JUNE 21 JUNE 28 JULY 5 JULY 12 JULY 19 JULY 26 Aug 2 AUG 9 ADD T-SHIRT $10: SIZE: select Child XS Child S Child M Child L Child XL Adult S Adult M Adult L Adult XL PARTICIPANT NAME 4: AGE: EXPERIENCE: select BEGINNER INTERMEDIATE ADVANCED SESSION: select JUNE 14 JUNE 21 JUNE 28 JULY 5 JULY 12 JULY 19 JULY 26 AUG 2 AUG 9 SESSION: select JUNE 14 JUNE 21 JUNE 28 JULY 5 JULY 12 JULY 19 JULY 26 Aug 2 AUG 9 SESSION: select JUNE 14 JUNE 21 JUNE 28 JULY 5 JULY 12 JULY 19 JULY 26 Aug 2 AUG 9 SESSION: select JUNE 14 JUNE 21 JUNE 28 JULY 5 JULY 12 JULY 19 JULY 26 Aug 2 AUG 9 ADD T-SHIRT $10: SIZE: select Child XS Child S Child M Child L Child XL Adult S Adult M Adult L Adult XL HAS ANY PARTICIPANT LISTED ABOVE ATTENDED PREVIOUSLY OR SAILED BEFORE? PLEASE GIVE DETAILS: ADDITIONAL COMMENTS: TERMS: THIS REQUEST WILL HOLD THE SESSION SPACE FOR TWO WEEKS ONLY. FULL PAYMENT IS REQUIRED SECURE YOUR REGISTRATION. CANCELLATIONS WITHIN 3 WEEKS OF YOUR CONFIRMED SESSION DATE ARE SUBJECT TO A 50% REFUND PENALTY. ALL THE REQUIRED PARTICIAPANT FORMS (SEE PACKET) MUST BE COMPLETED AND SUBMITTED PRIOR TO PARTICIPATION. FEES: NERYC MEMBER: $100p.p. PER SESSION, REGARDLESS OF FREQUENCY. MEMBER PRICE IS FOR IMMEDIATE FAMILY (THIS INCLUDES CHILDREN OR GRANDCHILDREN ONLY). NON-MEMBER: 1 SESSION - $160p.p.; 2 SESSIONS - $150p.p. PER SESSION; 3 SESSIONS - $140p.p. PER SESSION; 4 SESSIONS OR MORE - $130p.p. PER SESSION. THE PARTICIPATING GUEST AND FAMILY ARE GRANTED A NON-VOTING, 30 DAY TRIAL MEMBERSHIP AND THUS SHALL HAVE USE OF THE FACILITIES AND BE REQUIRED TO ABIDE BY THE RULES OF THE CLUB. PROGRAM T-SHIRTS $10 EACH PARTICIPANTS ARE REQUIRED TO PROVIDE THEIR OWN LUNCH. LIFE PRESERVERS WILL BE PROVIDED BUT PARTICIPANTS ARE ENCOURAGED TO BRING THEIR OWN FOR THE SAKE OF GOOD FIT AND COMFORT. AGE LIMIT: CO-ED 8 -18 YEARS OLD AT START OF SESSION. 6 AND 7 YEARS OLD - SUBJECT TO INSTRUCTOR APPROVAL. SWIM TEST: ALL STUDENTS WILL BE REQUIRED TO SWIM A DISTANCE OF 50 YARDS AND BE ABLE TO DEMONSTRATE THE ABILITY TO TREAD WATER FOR 3 MINUTES, WHILE WEARING A USCG APPROVED LIFE PRESERVER. I HAVE READ AND ACCEPT THE TERMS: YES(Required) (Click to send your request) RECEIPT OF THIS REGISTRATION REQUEST MUST BE CONFIRMED BY THE PROGRAM COORDINATOR. IF YOU DO NOT GET AN EMAIL RESPONSE WITHIN 48 HOURS PLEASE CONTACT NERYCMAIL@VERIZON.NET MAIL CHECKS TO: NERYC SUMMER PROGRAM PO BOX 267 NORTH EAST, MD 21901- 0267 CHECKS PAYABLE TO: NERYC FEES: NERYC MEMBER: $100p.p per session, regardless of frequency. Member price is for immediate family (meaning only children or grandchildren of the member). NON-MEMBER: 1 session - $160p.p; 2 sessions - $150p.p per session ; 3 sessions - $140p.p per session; 4 sessions or more - $130p.p per session. Camp T-Shirts $10 each PLEASE USE THIS LINK TO DOWNLOAD FORMS: PROGRAM PACKET ◄Back
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