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  • Registration

    ASA 101

    Basic Keelboat Sailing Certification

     

    Location: Shake-A-Leg Miami, Coconut Grove

    Eligibility: Ages 16+ (or specify if younger students allowed with guardian)

    Certification: American Sailing Association (ASA)

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  • Participant's Gender:*

  • Participant's Birth Date:*
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  • Are You proficient in English?*
  • Do you have a spinal cord injury or other accessibility needs?*
  • Sailing Experience *
  • How did you hear about this course?*

  • Special Sponsored Registration Rates

    Shake-A-Leg Miami is proud to offer sponsored registration rates for eligible veterans, volunteers, Sea Scouts, and individuals with disabilities.

    If you select a sponsored category, you may be required to upload supporting documentation depending on the selected category to complete your registration. Disability-based registrations do not require documentation at the time of registration.

  • Select your session(s)*
  • Select Participant Category*
  • Veterans / Military Participants
    Please be ready to provide one of the following:

    • Military ID
    • Veteran ID card
    • DD214 or similar proof of service
  • Students
    Please provide:

    • Current student ID
    • Name of your school or university
  • Sea Scouts / Scouts
    Please provide:

    • Scout organization name
    • Troop number
    • Scout leader contact (if applicable)
  • Participants with Disabilities
    We do not request medical records.
    You may simply confirm if theres any additional support or assistance may help you during the course.

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  • Payment Amount*

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    USD

    Payment Methods

    creditcard
    After submitting the form, you will be redirected to Apple Pay to complete the payment.
    After submitting the form, you will be redirected to Google Pay to complete the payment.
    After submitting the form, you will be redirected to Cash App Pay to complete the payment.
  • Waiver

    I hereby waive any privacy or other privilege I might have to authorize the Federal Bureau of Investigations to check my name in its criminal records, and if there are any entries thereto, copy such and deliver copies of any such entries or other references to Shake-A-Leg Miami. The waiver is executed with full knowledge and understanding that the information is for the use of Shake-A-Leg Miami in evaluating my application for membership in the organization, particularly my worthiness of character as an influence on young persons I may come in contact with as a member of Shake-A-Leg Miami.

    In consideration of Shake-A-Leg Miami, Inc. extending to me the privilege of participating in its water sports program, I fully assume all risks and waive all liability in connection with my participation in any program, and in particular, without limitation, to the extent permitted by law, I and my heirs, representatives, executors, or administrators and my undersigned parent, guardian or aide (if applicable) remise, release, indemnify, acquit and hold harmless and forever discharge Shake-A-Leg Miami, Inc., its directors, employees, and agents, instructors, including volunteers, rescue and support personnel, from any and all liabilities, obligations, damages, claims, causes of action, judgments, costs and charges which I may have or which may be incurred by me for any reason of any occurrence during my travel to and from the event, or during my participation therein, whether resulting from any acts or omissions of any persons, from the operation or condition of facilities or premises, or from acts of God or nature. I hereby agree to comply with all rules and regulations, give my permission for the free use of my name and picture in any media account of the Shake-A-Leg Miami water sports program or any future public relations or fundraising activity. I also agree to assume liability for all and any damages to Shake-A-Leg Miami property that is under my control while participating in any Shake-A-Leg Activity. I hereby attest that the above information is true to the best of my knowledge.

     

    Consent for Photography

    I consent to allow the staff of Shake-A-Leg Miami, Inc. to take/use still photographs, digital photographs, motion pictures, television transmission, and/or videotaped recordings (hereinafter “Recordings”) of me or my family for educational, research, documentary, and public relations purposes. Any photos/videos may reveal my and/or my family’s identity without any compensation paid to me, my family, or to others. All photos and videos may be used by Shake-A-Leg Miami for educational and/or promotional purposes and will remain the property of Shake-A-Leg Miami, Inc. I and/or my family hereby waive any and all present and future claims I or my family may have against Shake-A-Leg Miami, Inc., their staff, service providers, employees, agents, affiliates, and Board members to the use of any photos/recordings taken of me, or my family.

  • Waiver

    I hereby waive any privacy or other privilege I might have to authorize the Federal Bureau of Investigations to check my name in its criminal records, and if there are any entries thereto, copy such and deliver copies of any such entries or other references to Shake-A-Leg Miami. The waiver is executed with full knowledge and understanding that the information is for the use of Shake-A-Leg Miami in evaluating my application for membership in the organization, particularly my worthiness of character as an influence on young persons I may come in contact with as a member of Shake-A-Leg Miami.

    In consideration of Shake-A-Leg Miami, Inc. extending to me the privilege of participating in its water sports program, I fully assume all risks and waive all liability in connection with my participation in any program, and in particular, without limitation, to the extent permitted by law, I and my heirs, representatives, executors, or administrators and my undersigned parent, guardian or aide (if applicable) remise, release, indemnify, acquit and hold harmless and forever discharge Shake-A-Leg Miami, Inc., its directors, employees, and agents, instructors, including volunteers, rescue and support personnel, from any and all liabilities, obligations, damages, claims, causes of action, judgments, costs and charges which I may have or which may be incurred by me for any reason of any occurrence during my travel to and from the event, or during my participation therein, whether resulting from any acts or omissions of any persons, from the operation or condition of facilities or premises, or from acts of God or nature. I hereby agree to comply with all rules and regulations, give my permission for the free use of my name and picture in any media account of the Shake-A-Leg Miami water sports program or any future public relations or fundraising activity. I also agree to assume liability for all and any damages to Shake-A-Leg Miami property that is under my control while participating in any Shake-A-Leg Activity. I hereby attest that the above information is true to the best of my knowledge.

     

    Consent for Photography

    I consent to allow the staff of Shake-A-Leg Miami, Inc. to take/use still photographs, digital photographs, motion pictures, television transmission, and/or videotaped recordings (hereinafter “Recordings”) of me or my family for educational, research, documentary, and public relations purposes. Any photos/videos may reveal my and/or my family’s identity without any compensation paid to me, my family, or to others. All photos and videos may be used by Shake-A-Leg Miami for educational and/or promotional purposes and will remain the property of Shake-A-Leg Miami, Inc. I and/or my family hereby waive any and all present and future claims I or my family may have against Shake-A-Leg Miami, Inc., their staff, service providers, employees, agents, affiliates, and Board members to the use of any photos/recordings taken of me, or my family.

  • Medical Authorization Document

  • Confidentiality

  • NO REFUNDS!

  • Should be Empty: