Women on the Water Course Registration

Step 1: Complete Course Application Form

Name

First Name

Last Name

Email

Subject

Message

Step 2: Fees & Payment

Course fees are $73.50 for the weekend. Fees are non-refundable.

Step 3: Read Program Documents and Terms & Complete Form

Please read each of the following documents carefully and complete the form below to confirm your understanding of and agreement with the terms set forth.

Women on the Water Program Overview

Women on the Water Code of Conduct

Women on the Water Participation Agreement

Women on the water Photo Release

Name

First Name

Last Name

Email

Checkbox

I have read and agree to the terms of the Women on the Water Program Overview

I have read and agree to the terms of the Women on the Water Code of Conduct

I have read and agree to the terms of the Women on the Water Participation Agreement

I have read and agree to the terms of the Women on the Water Photo Release

Step 4: Complete Medical Information Form

Name

First Name

Last Name

Email

Date of Birth

Please describe any medical history or physical limitations you have that might prevent you from fully participating in this course. Include missing or injured body parts, weaknesses, eyeglasses, contacts, hearing aids, etc.

Please check any current or chronic ailments that apply.

Asthma or other respiratory issues

Circulatory or heart problems

Diabetes or hypoglycemia

Hemophilia or other blood disorders

If you checked any boxes above, please add any germane information we should have.

Please indicate any allergies you have.

Insect bites

Bee stings

Food allergies

Drug allergies

Other significant allergies

If you checked any boxes above, please add any germane information we should have.

Emergency Contact Name & Relationship

Additional Emergency Contact Name & Phone

Women on the Water Course Registration

Step 1: Complete Course Application Form

Step 2: Fees & Payment

Course fees are $73.50 for the weekend. Fees are non-refundable.

Step 3: Read Program Documents and Terms & Complete Form

Step 4: Complete Medical Information Form

Bay View Boat Club

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