Application Form

PRINTABLE APPLICATION FORM

 
Name____________________________________________________    

Address__________________________________________________

Address__________________________________________________

City_________________________________________ State_________ Zip________________

Home tel. ____________________________ Bus. tel. ______________________________


Skill level:
______Novice______Intermediate______Advanced

(Novices should have at least 15 miles on-water sculling experience)

______Bringing own boat 

Session options in Craftsbury Common VT:
Thursdays through Mondays Aug 11 - Aug 22, 2011

Dates Desired:

___________________2011 through_________________2011 
      (starting date)                               (last day) 
 
Number of days __________ 
 
Cost of Sculling Sessions: ______________ 
(See TUITION) 
 
Send application with $105 deposit to:
 
Henry Hamilton 
PO Box 98 
Craftsbury Common VT 05827 
(802) 586-9621 
 
Waiver of Liability: I know sculling is an activity of inherent risks. I hereby release Henry Hamilton's Vermont Sculling School and its staff from any and all liability arising from my injury, death, or loss of property during a Sculling School session. 
 
Signature___________________________________
(parent signature if applicant is under 18)

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