Registration

Please follow this 3-Step Process to register your child.

If you have questions please contact:

Tracey Thacker, Junior Program Coordinator/LGC Front Office Manager

STEP 1:

Electronic Registration

Please fill out one form for each child you are registering.
Before you begin please be sure to have all * Required Field information at your fingertips.

Child’s Name: (*)
Child's Date of Birth (*)
Child’s Age: (*)
Child’s Gender: (*)
Member: (*)

Yes (child or grandchild)
No
Relationship:


If you are sponsored, who is the sponsoring Member:

* Application for Sponsored Participants can be made at this time along with those for Regular Member children (sons, daughters, and grandchildren of Regular Members).
'Sponsored Children's' Participation in Junior Programs however will be subject to available class space and any regulations which may be instituted prior to the beginning of the Summer Season.
Each Sponsored Child's applicant will be contacted prior to the start of Junior Classes in June.

   
T-Shirt Size: Youth Adult       Sm Med Lg

Register for Sailing
Child’s Ability Level: Opti Beginner
Opti Intermediate
Opti Advance
FJ Beginner
FJ Intermediate
FJ Advance
Program Dates: Entire Season
Week 1 June 25 – June 28
Week 2 July 2 – July 5
Week 3 July 9 –July 12
Week 4 July 16 –July 19
Week 5 July 23 – July 26
Week 6 July 30 – Aug 2
Week 7 Aug 6 – Aug 9
Week 8 Aug 13 – Aug 16
Week 9 Aug 20 – Aug 23
Child's Birthdate: (Required if Signing up for Sailing)
The child must be turning 8 years old or older during the summer of participation.
Cheeseburger Regatta (at The Lake George Club): July 24, 25, 26 2013

Register for Swimming

Child’s Ability Level:
Program Dates: Entire Season
Week 1 June 25 – June 28
Week 2 July 2 – July 5
Week 3 July 9 –July 12
Week 4 July 16 –July 19		 Week 5 July 23 – July 26
Week 6 July 30 – Aug 2
Week 7 Aug 6 – Aug 9
Week 8 Aug 13 – Aug 16
Week 9 Aug 20 – Aug 23
  Diamond Island Swim: July 23
Long Island Swim: July 31

Register for Tennis
Child’s Ability Level:
Program Dates: Entire Season
Week 1 June 25 – June 28
Week 2 July 2 – July 5
Week 3 July 9 –July 12
Week 4 July 16 –July 19		 Week 5 July 23 – July 26
Week 6 July 30 – Aug 2
Week 7 Aug 6 – Aug 9
Week 8 Aug 13 – Aug 16
Week 9 Aug 20 – Aug 23
  Junior Banquet: 8/ 18
Tennis Singles Tournament 8/12
Tennis Doubles Tournament 8/14
Member’s Name: (*)
Member’s Email Address: (*)
Address: (*)
City: (*)
State: (*)
Zip: (*)
Phone: (*)
Member Number: (*) – i.e. A-28

STEP 2:

Electronic Health Information for each child

Registration is not complete until a Health Form and a Medical Authorization Form are both submitted and on file with Club staff. It will be of great help, and speed up a child’s first day, if the information for the forms is completed and submitted with the above registration. Thank you.

Child’s Birth Date: (*)
Known Allergies: (*)
Special Conditions: (*)
Date of Last Tetanus Shot: (*)
Medications Now Being Taken: (*)
Hospitalization Coverage for Above Minor:  
Insurance Company: (*)
ID or Contract Number: (*)
Group and/or Person Named on Policy: (*)
Pediatrician / Family Physician:  
Name: (*)
Address: (*)
Telephone: (*)
Name of Parent or Designated Guardian: (*)
(Person who is on Club property while the child is on Club grounds)
Emergency Contacts:  
Name(s): (*)
Telephone(s): (*)
Date providing the above information: (*)

STEP 3:

Medical Authorization Form must be printed and signed

Print this form now, sign it, have a witness sign, and submit it to Tracey Thacker, Junior Program Coordinator/LGC Front Office Manager at lgctracey@yahoo.com, by fax at 518-668-3863, or by sending it to PO Box 175, Diamond Point, NY 12824. It must be on file before your child attends a class.

  Download the Medical Authorization Form (pdf)
Please Affirm: (*) I have downloaded and printed the Medical Authorization Form

* indicates Required Field