The Maryland School of Sailing & Seamanship

@ Lankford Bay Marina, Rock Hall, Maryland

Mail: PO Box 6, Railroad, PA 17355 Phone: 410-639-7030 Fax: 717-235-0908

Printable Registration Form
Please print this form and return to: The Maryland School of Sailing & Seamanship, PO Box 6, Railroad, PA 17355

Course _____________________________________________________ #_______

Date ________________________ Location ________________________________

Tuition: $ __________

Deposit: $ 100.00 Required with registration form (non-refundable, non-transferable).

Balance: $ ________ Due prior to start of course.

We'll send you study materials upon receipt of you registration and deposit. Please register early to allow for study and preparation prior to start of course. Bring bedding, towels, foul weather clothing, boat shoes, warm and cool clothing and seasickness remedies. A safety harness and other personal gear are required for the advanced cruises.

In consideration of the potential hazards connected with boating, I agree to hold free from any and all liability The Maryland School of Sailing and Seamanship, Inc. and its officers, employees and agents and waive, release and forever discharge any and all rights and claims for damages which may accrue to me in connection with my participation in this course.

Signature _____________________________________________ Date______________

Printed Name ___________________________________________________________

Address______________________________________________Apt________________

City___________________________________________ State_____ Zip_________

Work Phone (______) _______ __________ Home Phone (______) _______ __________

E-mail _________________________________________

Include $100 Deposit, payable to: The Maryland School
[_]Cash [_]Check [_]Credit Card,
Credit Card Number
#|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| Exp. Date ___/___

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