Program Details 2026 Schedule TBD Personal information * Please fill in all required fields" * Name * Your Address * Name of next of Kin: * Home Phone Number: Summer Contact Phone Number: * Email Medical Information Disabilities and/or Medical Conditions:Please list anything we should be aware of * Allergies:YesNo Type:List all allergies * Health Card Number: Are you taking any medications:No If Yes, please give us the name(s) of the drug and any special instructions you have regarding them: If you answered yes to above please provide the name of your Dr. Phone number of clinic or facility they or someone who knows your condition can be reached at in case of emergency: Program details Weekday (select date ranges)June 2-6June 9-13June 16-20June 23-27June 30-July 4July 7-11July 14-18July 21-25July 28-Aug 1Aug 4-8Aug 11-15Aug 18-22Aug 25-29 Weekends (select)June 7-8June 14-15June 21-22June 28-29July 5-6July 12-13July 19-20July 26-27Aug 9-10Aug 16-17Aug 23-24Aug 30-31 Session Times (select date ranges)Mon-Fri 11-3Mon-Fri 5-7Sat-Sun 11-3 Fees per session: —All prices are shown excluding HST. Please check desired course Introduction to Sailing $300 (+HST)Start Keelboat Sailing $600 (+HST)Basic Coastal Cruising $1200 28 hrs (+HST) SORRY, NO REFUNDS, AND NO SPOT GUARANTEED UNTIL PAYMENT RECEIVED Payment By Interac: Send e-transfer payment to treasurer@lryc.ca (Do not forget to send password to same address.) Please ensure you indicate the students name. By Mail: LaHave River Yacht Club Treasurer, P.O. Box 22042, RPO Bridgewater, Nova Scotia, B4V 3W6 Due to scheduling of instructors you are asked to reserve by registering as soon as possible. Spot will be confirmed upon receipt of payment. By checking this box you are indicating your acceptance of the terms and understanding that until payment has been received the space desired is not booked Date: I hereby waive any and all legal rights against LaHave River Yacht Club and their Instructors or employees for any damages that may occur while sailing or on premises. . *Your name: Additional information/message (optional)