US SAILING

The US SAILING Sailing Counselor Program


Registration Information Form

(Fill out this form completely. Please print. Return to course contact or 
US SAILING, P.O. Box 1260, Portsmouth, RI  02871, Attn: Sailing Counselor.)

COURSE LOCATION: ______________________ COURSE DATE: ___________

The two-day Sailing Counselor Course is designed to prepare sailing counselors for supervising small boat recreational sailing activities conducted typically by camps on sheltered and protected waters. It is NOT a comprehensive sailing instructor certification course and you must be at least 14 years old to participate.

The primary emphasis of the course is on safety, and there is a good deal of hands-on sailing practice to familiarize and/or brush-up sailing counselors in proper terminology and sailing technique. The hands-on sailing activities will provide you with some well-coached personal sailing skill practice from a highly qualified US SAILING certified Instructor Trainer. Many sailing drills provide a model for how a sailing counselor like you might structure actual sailing activities for campers.

NAME: _________________________________________________________
               Last                    M.I.                 First                                                                     

HOME ADDRESS: _______________________________________________________
                                     Street           City                                      State Zip

E-MAIL ADDRESS: ______________________________________________________

PHONE: Home (       )__________ DATE OF BIRTH:_____________ SEX: (M) (F)

Do you have any learning or physical disability that would prevent you from fully participating in this course? If so, please explain. __________________________________________________________________
__________________________________________________________________
__________________________________________________________________

NOTE: If you have allergies or medical conditions that may make it hazardous for you to participate in this activity, you must note them above.

Who should we contact in case of an emergency?

_________________________________________________________________
Full Name                        Relationship                          Daytime Phone Number
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SAFETY:
Can you swim 50 yards? Yes___No___

SAILING EXPERIENCE:

Do you have sailing experience? Yes___No___ If yes, please describe what kinds of boats you’ve sailed, where, and how often:

__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

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COURSE MATERIALS:

Course materials will be sent to the course location and will be distributed by your Instructor Trainer on the first day. Your reference materials will include the following: Start Sailing Right! (SSR) book; Small Boat Sailor Certification Record Book (or "Little Red Book" – LRB); and Risk Management Issues and Responsibilities of the Sailing Counselor (RM&R).

COURSE OUTCOMES:

At the conclusion of the Sailing Counselor Course, you should be:

  • Able to properly rig and sail a small sailboat.
  • Familiar with sailboat nomenclature and proper sailing terminology.
  • Able to conduct a capsize/recovery drill.
  • Familiar with principles of risk management and able to carry out a safety inspection.
  • Familiar with land drills.
  • Rehearsed in fundamental small boat sailing skills and familiar with routine drills.
  • Familiar with basic "rules of the road" for small sailboats.
  • Familiar with on-the-water safety, emergencies, overboard recovery and rescue techniques.
  • Familiar with hazardous weather conditions.
  • Able to organize and conduct safe and orderly sailing activities.
  • Familiar with the use of hand signals in on-water communication.
  • Familiar with US SAILING Training programs, products and resources.

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PAYMENT INFORMATION:
Fee for Sailing Counselor Course: $125* $__________
Method of Payment:
1) ____ Enclosed is my check/money order made payable to US SAILING.

2) Charge my: ____Visa ____ MasterCard ____ American Express

Card No.:________________________________________Expiration Date:_______

Card holder signature:__________________________________________________

*The course fee covers all course costs for the candidate, including books.

THE COURSE FEE IS NON-REFUNDABLE.
Note: Any camp sailing counselor candidate who successfully completes the Sailing Counselor Course will receive a $25 credit (good for 2 years) toward the cost of a US SAILING Small Boat Sailing Level 1 Instructor Course. You must be at least 16-years-old to participate in the Level 1 course and 18-years-old to be awarded an official US SAILING Instructor Certification. Contact the Training Office for details.

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The Sailing Counselor candidate assumes full responsibility for any loss or damage, excepting loss or damage covered by insurance, that may come to any person, boat, pier, float, or other property used in conjunction with this course as a result of improper use, negligence, violation of the Navigation Rules and racing rules, and other acts of sailors, or other representatives of the host location in connection herewith.

Sailing Counselor Candidate Signature*__________________________________

*Applicants under 18 years of age at the time of the course must submit a  Statement of Understanding/Parental Release Form signed by their parent or legal guardian.