Privateer Youth Sailing
4713 Privateer Road
P. O. Box 1041
Hixson TN 37343
1 of 3
PRIVATEER YOUTH SAILING (PYS) SUMMER CAMP REGISTRATION FORMS
The camp is for students Ages 8 – 17. Each camp session runs Monday thru Friday 8:45am to 4:00pm at 4713 Privateer Rd, Hixson, TN. Enrollment is limited to 26 students per week. Cost per week $300. Checks made out to Privateer Youth Sailing and mailed to 4115 Hamill Rd. Hixson TN 37343. Scholarships and discounts are available for: members of PYC, multiple weeks, multiple children from same family, or based on special financial needs.
SAILORS MUST BE ABLE TO SWIM HAVE A COAST GUARD APPROVED LIFE JACKET WITH SAFETY WHISTLE ATTACHED
Please indicate the week or week (s) that you prefer.
__ June 5 to 9
__ June 12 to 16
__ June 19 to 23 Sponsored by Baylor School (Enrollment Open to All)
__ June 26 to June 30 Sponsored by GPS and McCallie (Enrollment Open to All)
July 3 to 7 No Sail Camp
__ July 10 to 14
__ July 17 to 21
__ July 24 to 28 Overflow week if needed
How did you hear of camp? Camp Calendar__, Street Banner__, Word of Mouth__, Other______
Parent/Guardian: ______Emergency Contact: ______
Phone: HM ______Mobile ______Emergency ______
Address: ______City: ______State: _____ Zip: ______
E-Mail Address: ______Text Messaging __Y, __ N
Sailor's Full Name: ______Nick Name ______
Sailors Cell: ______, Sailors E Mail ______
T Shirt Size: Youth Sm___, Youth Med___, Youth LG___, Small___, Medium___, Large___
Previous Sailing Experience: ______
Preferred Boat: OPTI – Age 8-14 <110lbs ___ Laser Age 14+ > 110lbs___,
Flying Junior Skipper & Crew at discretion of instructor ___
Male :(__) Female :(__) Date of Birth: ______Age: _____
This form must be accompanied by: “PYS Camper Information Emergency Medical” & a signed copy of “PYS Camp Statements of Understanding” The last must be mailed or turned in the first day of camp
Questions: Contact Steve Sherman, Camp Director: , 423 432 6501.
If not filled out on line mail to: Steve Sherman, 4115 Hamill Rd. Hixson TN 37343 with your payment.