Welcome! Women's Sailing Association of Santa Monica Bay P.O. Box 10034 Marina del Rey, CA 90295
Baja Ha Ha 2016
Type of Membership
WSA Certified Skipper
Phone & Address
Mobile (or primary) Phone Number
Home or Other Phone Number
Work Phone Number
Emergency Contact Person
Emergency Contact Phone Number
Boating Information and Experience
ASA Courses Completed
Yes - Sailboat
Yes - Powerboat
Boat Type & Length
Learning to Sail
I am Interested in Serving on the Following Committees
Yacht Club Rep
Comments/Suggestions for Programs/Activities
Do you have a skill that WSA can use?
Complete if Known
Year First Joined
Paid Thru Year
Current Year Board or Committee Position(s)
RELEASE OF LIABILITY AND WAIVER FORM
Women’s Sailing Association of Santa Monica Bay (WSA) P.O. Box 10034, Marina Del Rey, CA 90295 In consideration of your acceptance of my participation in WSA day sails, cruises and special events, I hereby agree to comply with the following:
I will remain familiar with and will comply with all United States Coast Guard safety rules and regulations.
I agree and will comply with WSA’s requirements, rules, and instructions governing the day sails, cruises and/or special events. I have read and understand the Safety Instructions and Etiquette for WSA Day sails, Cruises and Special Events.
I agree and will comply with all rules and codes of conduct aboard the vessel used for day sails, cruises or special events as identified by the skipper/guest skipper and/or Day Sail Captain.
I assume any and all risk of injury and/or loss arising out of (1) my participation in day sails, cruises and/or special events, (2) failure or breakage of the vessel sailed and/or any of its equipment, and/or (3) weather conditions.
I understand that sailing is a dangerous sport and I fully realize the potential hazard in these events.
I hereby release WSA and all of its officers, agents, board members and/or committee members from any and all liability for any injury and/or loss which I may suffer during my participation in day sails, cruises and/or special events.
I hereby release the vessel owner, skipper and/or guest skipper from any and all liability for any injury and/or loss which I may suffer during my participation in day sails, cruises and/or special events.
In addition to the above, vessel owners/skippers also agree to the following:
I own or I am otherwise fully authorized to operate the vessel being used in the WSA event.
The vessel will be equipped to conform with all U.S. Coast Guard safety equipment requirements.
A liability insurance policy for said vessel will be in full force and effect during the WSA event.
I understand that neither WSA, nor any of its officers, agents, board members and/or committee members, is responsible for the conduct of participants while aboard the vessel during the WSA event.
I fully realize the potential hazard in these events, including the likelihood that the vessel and/or its equipment will be damaged. I hereby release WSA and all of its officers, agents, board members and/or committee members from any and all liability for any and all damage and/or loss which I may suffer during my participation in day sails, cruises and/or special events, including but not limited to damage to said vessel and/or its equipment.
A photocopy, facsimile copy, digitally archived copy, and/or photographically archived copy of the executed original of this Release of Liability and Waiver Form shall have the same force and effect as the executed original document. This waiver shall remain in full force and effect from this date forward and I shall be bound thereby whenever I am participating in a WSA event regardless of whether I am at that time a member of WSA. I have read the above paragraphs and agree to be bound thereby.
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