Private Lesson Registration

Please complete the following to confirm your lesson. Payment and information page will be provided upon submission.

Name of Person Scheduling Lesson

First Name

Last Name

Phone

(###)

###

####

Please indicate the name and age of all involved in private lesson

Parent/Guardian Name - Emergency Contact)

Please provide name, contact information for guardian (if under 18 years of age or emergency contact)

Date of lesson

YYYY

Time of lesson

Hour

Minute

Second

Please provide any notes or details:

Please provide your level of sailing experience:

Check to indicate you agree with policies:

Refund Policy: To receive a full refund, written notification MUST be submitted at least two weeks prior to the private lesson date. Cancellations within 0 to 13 days prior to the program will NOT receive a refund. If you need to transfer your session, we cannot guarantee a space will be available on another date. To change any reservation please email: info@capechalressailingcamp.com. No other refunds will be issued, and we are not able to reschedule missed days. Weather Policy: Hands on experiences are the best way to learn to sail, so our emphasis is on learning by doing. If there is inclement weather, we have sailing related activities in a sheltered area. Cape Charles Sailing Camp will close under any unsafe conditions with partial refund due to weather or any other unavoidable situation.

Yes

Check to indicate you agree to all policies:

The Cape Charles Sailing Camp and its co-organizers are not responsible for lost or damaged personal property. All scheduled events are subject to change. I understand that no fees will be refunded or transferred unless student is unable to participate due to an accident or illness per physician orders. Student's photos and quotes may be used for publicity purposes. The undersigned parent/guardian recognizes that an element of risk is involved in all water sports, including sailing. Therefore, to accept his/her student into Cape Charles Community Sailing LLC. (i.e. Cape Charles Sailing Camp), the undersigned parent/guardian covenants and agrees to hold harmless and indemnify the Cape Charles Community Sailing LLC., Cape Charles Sailing Camp, and the Oyster Farm Marina its officers, directors, employees, and agents from any and all claims, losses, damages, fees and liability growing out of or in any manner related to injury to a person or damage to any property arising out of or in anywise connected with the operation of the Cape Charles Community Sailing LLC. (i.e. Cape Charles Sailing Camp) or any activities, events on or the use of any facilities or equipment of Cape Charles Community Sailing LLC. (i.e. Cape Charles Sailing Camp) and Oyster Farm Marina and/or Cherrystone Creek LLC. I grant full permission for Cape Charles Community Sailing LLC. (i.e. Cape Charles Sailing Camp) to use photographs of my enrolled child in the legitimate accounts and promotion of this class. During allotted program time, I allow my child permission to walk to other businesses in marina, such as the Marina Shop and Marina Pool. Certification of Swimming Skills, I/We the undersigned parents or legal guardian does hereby certify our child can swim unaided for 40 yards and tread water and that a swimming test is required for participation in the camp. Parental Agreement , I/We understand that I/we are responsible for our child’s or grandchild’s behavior and conduct while at the Cape Charles Community Sailing LLC. (i.e. Cape Charles Sailing Camp) and will see to it that our child adheres to the program rules. I/We agree to assume the obligation for expenses of repair and/or replacement of program equipment that is attributed to our student's reckless or irresponsible behavior and the expense of medical care if our child is injured. I/We agree to make an appointment for a parent/instructor or coach conference if requested. In case of an emergency, and if a legal guardian cannot be reached, I hereby authorize my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, and/or Physician).

Yes