Sailing Ships Maine Student Registration: Open Enrollment 2026

Sailing Ships Maine Student Registration: Open Enrollment 2026

Register for the sailing program by providing student, parent, and medical information, and consent to treat, release, and code of conduct signatures.
Program date:

July 6-10, 2026August 3-7, 2026

Student Information
Student Full Name*

First NameLast Name
Student Nickname
Gender/Preferred Pronouns
Date of Birth*

MonthDayYear
Date
Student Email Address (if applicable)
example@example.com
Student Phone Number (if applicable)
Please enter a valid phone number.
What fun facts would you like to share about you and your family?

Emergency Contact Information
Primary Parent/Guardian Full Name*

First NameLast Name
Relationship to Student*
Primary Parent/Guardian Phone Number*
Please enter a valid phone number.
Primary Parent/Guardian Email Address*
example@example.com
Alternate Emergency Contact Information
In any emergency event we will attempt to contact the Primary Parent/Guardian first, but we also require a secondary contact on file in case we have any trouble reaching the primary contact person.
Alternate Parent/Guardian Full Name

First NameLast Name
Relationship to Student
Alternate Parent/Guardian Phone Number
Please enter a valid phone number.
Alternate Parent/Guardian Email Address
example@example.com

Demographic Information
Please share some demographic/background information on yourself by checking any boxes that apply.
Check any that apply:

Confidential Medical Information
Legal Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Date
Name of Physician*
Physician Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Physician Phone*
Please enter a valid phone number.
Medical Insurance Provider*
Policy Number*
Subscriber Name*
Subscriber Phone*
Please enter a valid phone number.
Subscriber Relationship to Student*
Swimming Ability – Are you comfortable swimming?*

YesNo
Allergies – Have you previously, or do you currently, have any documented allergies or restrictions including dietary?*

YesNo
If you answered “Yes”, please describe your allergies/restrictions.
If you have any of the following conditions, past or present, please check the appropriate box and explain below.

Medical Conditions (Current and Past)

	Current	Past
ADHD/ADD
Agoraphobia
Anemia
Anxiety
Appendicitis
Asthma
Back Injury
Bed Wetting
Bleeding Problems
Broken/Sprained Bones
Bronchitis
Chronic Cough
Chronic Neck Pain
Claustrophobia
Color Blindness
Concussion
Congestive Heart Failure
Constipation
Convulsions
Crohn’s Disease
Depression
Diabetes
Dialysis
Dizzy Spells
Drug Use
Eating Disorder
Epilepsy
Eye Disease
Fainting
Food Intolerances
Frequent Abdominal Cramps
Frequent Diarrhea
Frequent Nausea/Vomiting
Frequent Throat Infections
Gallstones
Gastrointestinal Bleeding
Glaucoma
Hearing Aids
Hearing Loss
Heart Attack
Heartburn
Heart Palpitations
Hepatitis
Hernia
Hypo/ hyperglycemia
Irregular Heartbeat
Jaundice
Joint Pain
Kidney Stones
Learning Disability
Low/High Blood Pressure
Migraines
Motion Sickness
Narcolepsy
Nerve Pain
Pacemaker
Persistent Headaches
Past Surgery
Poor Circulation
Pregnancy
PTSD
Rash/Infection
Sciatica
Seizures
Severe Head Injury
Severe Menstrual Cramps
Shortness of Breath
Sleep Apnea
STD
Thyroid Condition
Transplant
Tuberculosis
Ulcerative Colitis
Urinary Tract Infection
Vertigo
Vision Problems
Other:

If you checked any of the above boxes, please provide details of any and all medical conditions, both past and present:
Have you previously received or are you currently receiving treatment for a psychological diagnosis?

YesNo
If you answered Yes, please provide the following information:
Name of treating doctor
Affiliation/Facility
Contact Phone
Reason for treatment
Most recent date of treatment
Medications prescribed (if any)
Other pertinent information regarding psychological diagnosis
Participant Height*
Participant Weight*
Date of last dental exam*
Date of last COVID vaccine*
Do you take regular medications?*

YesNo
If you answered yes, please provide a complete list of medications, including dosage, time taken, reason for medication, and any other information we should know.
Please Note: All medications for your trip will be administered by the crew during the voyage.
Do you have any allergies to any specific medications, foods, insect bites, or other substances?*

YesNo
If you answered yes, please provide a list of your allergies, including severity and type of reaction.
Note: If you use an Epipen for treatment, we require that you bring at least 2 kits with you.
Any other medical information we should know about?

Authorization and Right to Treat
I certify that this health history and all information on it is complete and accurate and that I and/or my student is physically and emotionally fit to participate in an extended offshore sailing voyage. In the event of a medical emergency, I hereby authorize Sailing Ships Maine, its doctor(s), the ship’s captain and/or the medical officer to administer emergency medical treatment; to secure proper treatment and hospitalization; and to order injections, anesthesia, and/or surgery for me. I give permission for Sailing Ships Maine staff to share information from this form if needed for medical purposes. I understand that I am responsible for notifying Sailing Ships Maine of any injury, illness, other medical change to the medical information here provided.

For all parents and guardians: Signing below also acknowledges authorization to provide any emergency medical treatment for your child/ward.
Participant Signature*

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Participant's Printed Name*
Parent/Guardian Signature*

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Parent/Guardian Printed Name*
Date Signed*

MonthDayYear
Date

Participant Release Form
It is important to Sailing Ships Maine that you understand the nature of its programs and that you are informed regarding certain issues, including risks and limitations of liability. Your signature below reflects certain understandings and, with respect to adult participants and parents and guardians, certain agreements. The school/organization, parent, or guardian makes these agreements for himself or herself individually and on behalf of and for the minor participant. “I” and other first-person references below refer to the Participant and/or Guardian and to the school/organization or parent or guardian unless indicated otherwise. The Participant and/or Guardian do hereby freely execute this Release under the following terms:

1. Waiver and Release: By signing this Release, the Participant and/or Guardian hereby release and hold harmless Sailing Ships Maine and its successors and assigns, its directors, employees and staff from any and all liability, claims, and demands of whatever kind or nature which arise or may hereafter arise as a result of the Participant’s participation in the Voyage. The Participant and/or Guardian understand that this Release discharges Sailing Ships Maine, its directors, employees, and staff from any liability or claim that the Participant may have against Sailing Ships Maine regarding any claim or demand that may result from the Participant participating in the Voyage.

2. Medical Treatment: The Participant and/or Guardian release Sailing Ships Maine from any claim whatsoever which arises or may hereafter arise as a result of any first aid, treatment, or service rendered in connection with the Participant’s participation in the Voyage or with the decision by any representative of Sailing Ships Maine to exercise the power to consent to medical or dental treatment.

3. Assumption of Risk: The Participant and/or Guardian understand that the Voyage may include activities which may be hazardous to the Participant. Therefore, the Participant and/or Guardian assume any and all risk of any kind that may arise out of the Participant’s participation in the Voyage.

4. Media Release: By signing this Release, the Participant and/or Guardian also transfer unto Sailing Ships Maine all right, title and interest in any and all photographic images, video, and audio recordings made during the program including, but not limited to, any royalty benefits or other proceeds that could be received from such photographs or recordings. The Participant and Guardian also allow Sailing Ships Maine to use photographs and video taken during the program for the benefit of Sailing Ships Maine.

5. The Participant and/or Guardian agree that in the event that any clause or provision of this Release shall be held to be invalid by a court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release, which shall continue to be enforceable.

6. Privacy Policy: All information given on this form is used by Sailing Ships Maine solely as a means of maintaining accurate records and conveying up-to-date information with all participants of our affiliate. All information is private and in no way will we disclose, share or sell personal information to any parties outside of the organization.

I, the undersigned, affirm that this agreement supersedes any and all previous oral or written promises or agreement. I understand that this is the entire agreement between me and Sailing Ships Maine and cannot be modified or changed in any way by representations or statements by any agent or employee of Sailing Ships Maine. This agreement may only be amended by a written document duly executed by all parties. The Participant and/or Guardian have executed this Release as of the day and year written below.
Participant Signature*

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Participant's Printed Name*
Parent/Guardian Signature*

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Parent/Guardian Printed Name*
Date Signed*

MonthDayYear
Date

Code of Conduct
WE ARE A ONE STRIKE PROGRAM

Failure to abide by the rules and regulations of the program will result in removal from the program at the earliest prudent opportunity at the Participant’s or their parents’ or guardian’s expense. The one-strike program relates to, but is not restricted to, the use and/or possession of illicit drugs, alcohol, and/or tobacco products.

Sailing Ships Maine also will not tolerate harassment of any kind, but particularly harassment forbidden by law and based on race, religion, gender, sexual orientation, age, national origin, race, marital status, and/or physical or mental disability. Social behaviors that put oneself and/or others at risk or jeopardize the integrity of the ship and voyage will result in immediate dismissal from the program.

Please understand that the severity of this response is due to the following:

● Your behavior plays a direct role in the lives of fellow shipmates.

● Trust is critical in the safe and successful operation of this program.

● Depending on the program, you may be making port stops in foreign countries where the legal response to certain violations will result in incarceration.
Acknowledgment of the Code of Conduct

I understand that Sailing Ships Maine operates under a one-strike policy. Violation of the rules and regulations, related but not limited to illicit drugs, alcohol, tobacco and/or social violations, will result in immediate dismissal from the program at the earliest prudent opportunity. This rule structure is in effect throughout the duration of the program, including transportation to and from the ship.
Participant Signature*

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Participant's Printed Name*
Parent/Guardian Signature*

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Parent/Guardian Printed Name*
Date Signed*

MonthDayYear
Date
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