REGISTRATION

PITCH 2004 -- September 4 and 5 2004

This form can either be completed and sent electronically* by hitting the "Submit" button*, or it can be downloaded (pdf file) and printed and submitted by mail (with check and current PHRF certificate) to:

PITCH  Committee
C/O Bellingham Yacht Club
2625 Harbor Loop Bellingham, WA 98225
Tel: 360-733-7390  

NOTE: ALL ENTRIES, WHETHER REGISTRATING ON-LINE OR BY MAIL, MUST PROVIDE THE PITCH ORGANIZERS A COPY OF THEIR CURRENT RATING CERTIFICATE (PHRF) AT CHECK IN.

SPECIAL ENTRY NOTES

NOTE:THIS SITE IS A SECURE SITE. BEFORE SUBMITTING THIS FORM WE SUGGEST THAT YOU PRINT A COPY FOR YOUR RECORDS.
After hitting the submit button please wait a few seconds for a feedback message

Skipper's First Name * Skipper's Last Name*
Street Address * City *
State * Zip * Email address *
Day phone * Evening phone*

Name of Skipper's Yacht Club:*

Crew Names:


In consideration for participating in this event, I represent to its organizers that my yacht has liability insurance currently in effect, covering property damage, personal injury and death in an amount not less that $300,000 per occurrence, and that the policy covers yacht racing activities.  I acknowledge that the decision to enter my yacht and crew to participate in this event is solely my own; and I agree to be bound by the International Yacht Racing Rules as adopted by US Sailing, including national prescriptions, except as modified by the organizers, and the race notice for this event.  I further agree to hold harmless the Bellingham Yacht Club, its officers, representatives or race committee for damages or losses which I or anyone one my boat may incur which are associated with my participation in this event and related activities.

By Checking this box * I accept and agree to the above conditions.
DATE: * INITIALS: *


Boat name: * Sail Number: *
Type: * Length: * PHRF rating: *
Check: PHRF: * One Design: * Class Name:
Temporary PHRF required ; if required age of newest sail (years)
For trailable boats: Do you require lift facilities? Yes: No:
If Yes, please insert arrival date: and time:

Please indicate number of Saturday night dinner guests from your crew (including skipper) who will attend the special Caribbean barbecue - Pig roast and more. Book and pay now -- USD $15 per head. (NOTE. This price is good with registration thru' September 3. Bookings on September 4 and at door will be USD $20 per head). If none type zero *


Please indicate number of crew members who would may order breakfast at the Web Locker (nearby harbor Restaurant): Saturday* Sunday* if none type zero

Fees:

* Early Registration received by August 20 -- USD $50.00. (CAD $50 for Canadian registered boats)
* Registration after August 20 and at BYC on September 3 -- USD $65. (CAD$ 65 for Canadian registered boats)
* Overall winner of specified Regatta. No charge.
Name of Regatta

Caribbean dinner: Number at USD $15 per head = Total USD $ (if none type zero)

Total Payment Authorized in USD $ = Registration + Dinner = *

Payment by*: check credit card payment waived for regatta winner
If paying with credit card all of the following must be completed
Credit card payment : Visa Master Card
Card number (four numerals per box please):
Expiration date: Month Year
Card holder's name:
Comments (if any)
On arrival at BYC for check in, copy of current PHRF certificate must be submitted in order to obtain race package

* The above form, if submitted electronically, will be sent to the PITCH Committee for processing registration


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Last modified : Wednesday, August 18, 2004