Registration Form Register with payment to: Rick Turner 105 e terrace Ave. Lakewood, ny 14750
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- Total enclosed (including Charter fees if applicable): $__________________
| Red Apple Regatta
September 2, 2017 CHAUTAUQUA LAKE YACHT CLUB Registration FormRegister with payment to: Rick Turner 105 E Terrace Ave. Lakewood, NY 14750 Questions to: rturner@matric.com or terryhturner@gmail.com Sail # : ___________ 420 spin & trap_________ 420 No Spinnaker _______ Fleet: (Opti Only): Green:______ Red, White or Blue: ______ Laser______ I need to charter a 420 for the regatta (CLCSF boats are $25/sailor for regatta) ______ Skipper’s Name: Crew Name: ____________________________________________________________________ Street Address: ____________________________________________________________________ City: ______________________________________State: _______Zip___________ Phone #: _____________________ Email: ____________________________ Date of Birth: _____________________________ Male __________ Female __________ Club/Association/Team: ________________________________________________________________________ Email:___________________________________ Adult responsible at event: ________________________________ Relationship: _________________________ Phone # at Event______________________ WAIVER OF LIABILITY: In consideration of Chautauqua Lake Yacht Club allowing my child to participate in the above named event, I recognize and understand that the regatta is voluntary in nature and participation is at the invitation of the event host and organizer. I recognize that my child incurs risks attendant to sail and water-related activities, and I fully agree to waive any and all claims, charges, losses and liabilities including those caused by negligence, against Chautauqua Lake Yacht Club, their respective officers, trustees and members, and against any and all volunteers, parents, participants, or others, which may arise from, or in any way be in connection with, the practices or activities of the regatta and its organizers. : I am aware that the activities may involve maneuvering a boat, sailboard, or other watercraft on deep waters in potentially hazardous conditions which may include among other things, cold water temperature, strong winds and high waves, sudden and unexpected immersion in deep waters and collision with other watercraft or stationary objects such as docks, pilings, and buoys. I understand that I am responsible for the actions of my child while he or she may be participating in the regatta and on the grounds of the event host. I also agree to be bound by the racing rules of the ISAF, US SAILING and by all other rules which govern this event. Parent’s Signature: _________________________________Date ___________________ Skipper’s Signature: ________________________________________________ Entry Fee: $33 per sailor ($66 for 420) US or Canadian OR early $28/sailor ($56 for 420) Total enclosed (including Charter fees if applicable): $__________________ Directory: media media -> Applications to Drill media -> Unicef voices of Youth Chat Theme: Children and aids nigeria and Zimbabwe 13 October 2006 Background media -> Tsunami Terror Alert: Voices of Youth media -> Biblical Eschatology Presentation by: D. Paul Beck May 4, 2016 Ground Rules media -> Guide to completing the collection using the Omnibus system media -> The milk carton kids media -> Events Date and Location media -> The Gilded Age: The First Generation of Historians by H. Wayne Morgan University of Oklahoma, April 18, 1997 media -> Analysis of Law in the United Kingdom pertaining to Cross-Border Disaster Relief Prepared by: For the 30 June 2010 Foreword media -> Cuba fieldcourse 2010 Download 9.28 Kb. Share with your friends:
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