2022 LBYC Sail Camp Registration

2023 Sail Camp Registration
Long Beach Yacht Club takes pride in hosting more than a sail camp intended to teach your child how to sail. Throughout the course of the camp, children will enjoy sailing, swimming, fishing, kayaking, and several other special activities. The program's goal is to create a safe, as well as fun, environment in which children can explore the sport of sailing. LBYC's age requirement for sail camp is 8 to 18 years of age. The camp is five days a week from 9 a.m. to 4 p.m. A $50 non-refundable deposit must be submitted to the club for your registration to be considered complete. This ensures your child a spot in the session or sessions. The remaining amount of the fee is due based on the schedule attached.
Select Camp Session*
Child's Full Name*
Child's Date of Birth*

MonthDayYear
Date
Academic Grade to be Completed by June 1, 2023*
Medical Conditions *
Fee Schedule If you are an up to date member of Long Beach Yacht Club, please select Member Fee. If you are not a current member of LBYC, please select Non-Member fee. (Non-Member fee includes a junior membership for insurance purposes.)*

Member Fee $450.00Non-Member Fee $500.00
Has your child ever sailed before?*

Payment Deadlines
Session 1 balance deadline is May 22, 2023. Session 2 balance deadline is June 15, 2023.
Payment Information
VENMO Registration Fee to Long Beach Yacht Club, Inc. @LBYC-MS. Use of Venmo to pay LBYC will result in a 2% Convenience Fee being added to the amount due Long Beach Yacht Club. You can send a check to POBox 97, Long Beach MS 39560 if you do not use Venmo
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Sail Camp RegistrationThis reserves your spot for camp!
$50.00

Total

$0.00
Parent/Guardian Name*
I have read and understand the fee schedule and agree to pay the balance in full by the session deadlines stated above. I also understand that Long Beach Yacht Club does not offer refunds.*

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Media Release I give my consent for photographs and/or video footage of my child to be used for the promotion of the Long Beach Yacht Club*

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Medical Release
I, the undersigned, do hereby authorize and consent to any x-ray examination, anesthetic, medical or surgical diagnosis or procedure rendered under the general or specific supervision of any. member of the medical staffor of a dentist licensed under the provision of the State of Education Law and or Public Health Law of the State and on the staff of any hospital holding a current operation certificate issued the the State Department of Health. It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required but is given the provide authority and power to render care which the aforementioned physician in the exercise of his/her best judgement may deem advisable. It is understood that effort shall by made to contact the undersigned prior to rendering treatment to the patient, but that ny of the above treatment will not be withheld if the undersigned cannot be reached.
Parent/Guardian Name*
Medical Release Signature *

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Approved for Pick up Name & Phone Number*
Approved for Pick up Name & Phone Number*
Approved for Pick up Name & Phone Number*
Approved for Pick up Name & Phone Number
Parent/Guardian email*
Parent/Guardian Phone Number*
I attest the information submitted is accurate and approve Long Beach Yacht Club and its staff to use the information *

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PLEASE CHOOSE VENMO.
Please choose Venmo. The club does not have an active PayPal account. The form does not allow us to eliminate the PayPal option. I apologize for any confusion this may cause

Payment Methods

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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