Courageous Sailing After School Sailing Program

To register your child or children for After School Sailing, please complete this form in its entirety.  Please complete one form per family.

THIS FORM MAY ONLY BE COMPLETED BY THE CHILD'S PARENT OR LEGAL GUARDIAN.


You must be the parent or legal guardian of the child/children to register them for a Courageous Sailing program. If there is some extenuating circumstance, please contact Courageous Sailing directly at 857-452-1762 or email toni@courageoussailing.org.

Parent Information













Sharing this information is optional. It will be kept confidential and will be grouped together to report overall program demographics to our funders who want to know who is attending our programs. We appreciate your understanding and assistance. Thank you.








(1) Registration for this program is on a first come, first served basis until all spots are filled. 

(2) Youth must be current students of either the Warren Prescott, Harvard-Kent, or Eliot Elementary schools. On occasion, if space allows, we accept students in grade 3-6 at other Boston Public Schools.

(3) Please be advised that we are only accepting students currently enrolled in grades 3-6.  

(4) Parents will be notified of class assignments in early May.

Student Info #1











This information is for statistical purposes only. It does not impact whether your child gains a spot in After School Sailing as registration is first come, first served until all classes are full.


Each student is limited to attending one session, either Mondays, Wednesdays, or Fridays. All classes meet from 4:00-6:30 PM.

Monday Session: 5/29 (Memorial Day), 6/5, 6/12, 6/19
Wednesday Session: 5/31, 6/7, 6/14, 6/21
Friday Session: 6/2, 6/9, 6/16, 6/23

Please select your class preferences below. You will be contacted no later than May 15 with which session your child has been placed in.








Enter none if this does not apply.



Check all that apply and provide any additional detail below. OPTIONAL: If your child has an allergy causing anaphylactic shock, asthma, or another acute, life threatening condition, please feel free to provide Courageous Sailing with a copy of your child's action plan.




Medications 



Swimming Form for Student #1

While we do have a strict life jacket policy and recreational swimming is not a regular part of our programs, for safety reasons Courageous Sailing requires that all youth program sailors be able to swim 75 feet (any stroke, even dog-paddle) and tread water, unassisted, for 90 seconds.

As proof of your child's or children's swimming ability, a photocopy of one of the items listed below must be submitted by May 1:

* YMCA: Certificate of completion for Fish Level or above
* Red Cross: Certificate of Completion for Level V or above
* Boy/Girl Scouts: Swimming or Lifesaving Merit Badge
* Courageous Sailing Swim Form
Blank proof of swimming forms may be downloaded at bit.ly/swimformcourageous

If your child has participated in a Courageous Sailing program in the past, there is no need to submit another swim form as we should have it on file. 


Student #2











This information is for statistical purposes only. It does not impact whether your child gains a spot in After School Sailing as registration is first come, first served until all classes are full.


Each student is limited to attending one session, either Mondays, Wednesdays, or Fridays. All classes meet from 4:00-6:30 PM.

Monday Session: 5/29 (Memorial Day), 6/5, 6/12, 6/19
Wednesday Session: 5/31, 6/7, 6/14, 6/21
Friday Session: 6/2, 6/9, 6/16, 6/23

Please select your class preferences below. You will be contacted no later than May 15 with which session your child has been placed in.








Enter none if this does not apply.



Check all that apply and provide any additional detail below. OPTIONAL: If your child has an allergy causing anaphylactic shock, asthma, or another acute, life threatening condition, please feel free to provide Courageous Sailing with a copy of your child's action plan.




Medications 



Swim Form for Student #2

While we do have a strict life jacket policy and recreational swimming is not a regular part of our programs, for safety reasons Courageous Sailing requires that all youth program sailors be able to swim 75 feet (any stroke, even dog-paddle) and tread water, unassisted, for 90 seconds.

As proof of your child's or children's swimming ability, a photocopy of one of the items listed below must be submitted by May 1:

* YMCA: Certificate of completion for Fish Level or above
* Red Cross: Certificate of Completion for Level V or above
* Boy/Girl Scouts: Swimming or Lifesaving Merit Badge
* Courageous Sailing Swim Form
Blank proof of swimming forms may be downloaded at bit.ly/swimformcourageous

If your child has participated in a Courageous Sailing program in the past, there is no need to submit another swim form as we should have it on file. 


Student #3











This information is for statistical purposes only. It does not impact whether your child gains a spot in After School Sailing as registration is first come, first served until all classes are full.


Each student is limited to attending one session, either Mondays, Wednesdays, or Fridays. All classes meet from 4:00-6:30 PM.

Monday Session: 5/29 (Memorial Day), 6/5, 6/12, 6/19
Wednesday Session: 5/31, 6/7, 6/14, 6/21
Friday Session: 6/2, 6/9, 6/16, 6/23

Please select your class preferences below. You will be contacted no later than May 15 with which session your child has been placed in.








Enter none if this does not apply.



Check all that apply and provide any additional detail below. OPTIONAL: If your child has an allergy causing anaphylactic shock, asthma, or another acute, life threatening condition, please feel free to provide Courageous Sailing with a copy of your child's action plan.




Medications 



Swim Form for Student #3

While we do have a strict life jacket policy and recreational swimming is not a regular part of our programs, for safety reasons Courageous Sailing requires that all youth program sailors be able to swim 75 feet (any stroke, even dog-paddle) and tread water, unassisted, for 90 seconds.

As proof of your child's or children's swimming ability, a photocopy of one of the items listed below must be submitted by May 1:

* YMCA: Certificate of completion for Fish Level or above
* Red Cross: Certificate of Completion for Level V or above
* Boy/Girl Scouts: Swimming or Lifesaving Merit Badge
* Courageous Sailing Swim Form
Blank proof of swimming forms may be downloaded at bit.ly/swimformcourageous

If your child has participated in a Courageous Sailing program in the past, there is no need to submit another swim form as we should have it on file. 


Student #4











This information is for statistical purposes only. It does not impact whether your child gains a spot in After School Sailing as registration is first come, first served until all classes are full.


Each student is limited to attending one session, either Mondays, Wednesdays, or Fridays. All classes meet from 4:00-6:30 PM.

Monday Session: 5/29 (Memorial Day), 6/5, 6/12, 6/19
Wednesday Session: 5/31, 6/7, 6/14, 6/21
Friday Session: 6/2, 6/9, 6/16, 6/23

Please select your class preferences below. You will be contacted no later than May 15 with which session your child has been placed in.








Enter none if this does not apply.



Check all that apply and provide any additional detail below. OPTIONAL: If your child has an allergy causing anaphylactic shock, asthma, or another acute, life threatening condition, please feel free to provide Courageous Sailing with a copy of your child's action plan.




Medications 



Swim Form for Student #4

While we do have a strict life jacket policy and recreational swimming is not a regular part of our programs, for safety reasons Courageous Sailing requires that all youth program sailors be able to swim 75 feet (any stroke, even dog-paddle) and tread water, unassisted, for 90 seconds.

As proof of your child's or children's swimming ability, a photocopy of one of the items listed below must be submitted by May 1:

* YMCA: Certificate of completion for Fish Level or above
* Red Cross: Certificate of Completion for Level V or above
* Boy/Girl Scouts: Swimming or Lifesaving Merit Badge
* Courageous Sailing Swim Form
Blank proof of swimming forms may be downloaded at bit.ly/swimformcourageous

If your child has participated in a Courageous Sailing program in the past, there is no need to submit another swim form as we should have it on file. 


Emergency Contact Information

Primary Emergency Contact
***This should be the parent/guardian.***





Secondary Emergency Contact





Tertiary Emergency Contact
Optional third Emergency Contact.






Courageous Values & Expectations
We value all Courageous students, staff, and community members, and expect them to treat each other with kindness, respect, tolerance, and compassion. We value our differences and find strength in our diversity of backgrounds, experiences, and points of view. 

Youth Program Code of Conduct
All youth program students and staff must behave in accordance with the values and expectations articulated above. Students and staff must work cooperatively together to ensure that all Courageous activities (on water and land) are conducted in a manner that maximizes respect, safety, and fun for everyone involved.

Discipline and Guidance
We believe that discipline and guidance should be consistent and based, as much as possible, upon an understanding of each individual. We also recognize that to maintain a safe and supportive environment for our whole community, certain guidelines and parameters must be clearly articulated and understood. 

Courageous program managers reserve the right to dismiss or suspend any student or staff when their behavior interferes with the rights and safety of themselves or others. These behaviors may include but are not limited to the following: 

Weapons of any kind 
Threatening another student or staff or behaving in a threatening manner
Endangering or purposefully hurting another student or staff
Bullying 
Hazing 
Harassment 
Inflammatory language
Sexual misconduct
Leaving the group without permission
Stealing 
Purposefully destroying property
Engaging in inappropriate or illegal behavior. 

Each incident is reviewed on a case-by-case basis and consequences are issued at the discretion of Courageous program managers. 

Consequences for behavior that is inconsistent with the Courageous code of conduct, but not at the level of warranting suspension or separation from the program, may include time-outs, reduction in privileges, discussions with senior staff, and phone calls with parents, as appropriate.  

The following consequences are strictly prohibited: corporal punishment, cruel punishment, humiliation or verbal abuse; the denial of food, sleep, restroom privileges or shelter; and any punishment for soiling, wetting, or toilet use.
Each incident is reviewed on a case-by-case basis and con
sequences are issued at the discretion
of Courageous staff.
Each incident is reviewed on a case-by-case basis and con
sequences are issued at the discretion
of Courageous staff.


Instructions: A parent or court-appointed legal guardian must complete this short online waiver for each participant and agree that they and the minor are subject to all the terms of this document, as set forth below. If you have more than one child participating, you can include multiple minors on one online waiver. 

An e-signature confirmation will be emailed to the address you provide. You must respond to this email for this waiver to be complete.




I'm signing this waiver on behalf of the following students:








An e-signature confirmation will be emailed to the address you provide. You need to check and respond to this email (as you'll be prompted to do at the end of the waiver) in order for your waiver to count as complete.

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