web APPLICATION FOR DCSS ADULT SAILING PROGRAM 2008
Week of June 23____Week of June 30____

Name(s) ____________________________________________________
Address ____________________________________________________
City ______________________________State______Zip_____________
Lake Phone ____________________Home Phone__________________
eMail address_______________________________________________

I (we) will bring my (our) own Flying Scot: Yes_____ No_____

I hereby agree to hold the Deep Creek Sailing School, its officers,
board members, instructors, and volunteers harmless from any claim for
loss or injury for any reason whatsoever during or in conjunction with
this sailing program.

Signed ___________________________Date ________

Signed ___________________________Date ________

Permission to use your photograph in our web page: Yes _______ No _______

Tuition Individual ($235) ________

Tuition Family (Two persons $470) ________

Discount ($50 if you use your boat) ________(You must have liability insurance:
Signed ___________________________Date ________)

Tax deductible contribution to Deep Creek Sailing School ________

Total (Make check payable to Deep Creek Sailing School) ________

Send application, medical forms, and check to:

Deep Creek Sailing School,  Inc.
365 Back Bay Road, Swanton, MD 21561