REGISTRATION

Ski to Sea Junior Regatta

May 22 - 23rd 2004

Sea to Ski Regatta Home

This form can either be completed and sent electronically* by hitting the "Submit" button, or it can be printed and submitted by mail (with check made out to Bellingham Yacht Club) to:

Ski to See Junior Regatta
C/O Bellingham Yacht Club
2625 Harbor Loop Bellingham, WA 98225
Tel: 360-733-7390  

NOTE: BEFORE SUBMITTING THIS FORM WE SUGGEST THAT YOU PRINT A COPY FOR YOUR RECORDS
THIS IS A SECURE SITE. AFTER HITTING SUBMIT BUTTON PLEASE WAIT FOR A FEW SECONDS FOR FEEDBACK INFORMATION
Skipper's First Name * Skipper's Last Name*
Street Address * City *
State * Zip * Email address *
Day phone * Evening phone*

Skipper's Birthdate: MM * DD* YY*

Name of Skipper's Yacht or Sailing Club*:

Crew First Name: Crew Last Name:

Crew Birthdate: MM DD YY

Sail Number (If you do not know your sail number enter "X"): *
Class:

* OPTI - RED -- age 13-15 (born 1989 to 1991); OPTI - BLUE -- age 11 and 12 (born 1992 and 1993); OPTI - WHITE – 10 under (born 1994 and later); OPTI NOVICE -- age 15 and under (born 1989 or later) and have raced for less than one year.
Laser; Byte; Laser>>; Other


Release I have read the rules and regulations issued for this event and agree to be bound by them. In consideration of acceptance of this entry or my being permitted to take part in this event, I agree to save harmless and keep indemnified the Bellingham Yacht Club, the organizers and their respective agents, officials, servants, and representatives from and against all claims, actions, costs, expenses, and demands in respect to death, injury, loss, or damage to my person or property, howsoever caused or occassioned by the negligence of the same bodies or any of them, or their agents, officials, servants, or representatives. I further understand and agree that this release is binding upon myself, my heirs, executors, and assigns.

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

Parent or Legal Guardian Acknowledgement. I, the parent or legal guardian of the competitor who has checked the above, hereby certify that I have read and agree to be bound by the terms of this release indemnity on the behalf of the competitor.
By Checking this box * I accept and agree to the above conditions.
DATE: * Full Name: *

Registration Fees:
Note Canadian entrance fee is par with US dollar
* Single handed - US/CAD $25; Double handed - US/CAD $45
Payment by*: check credit card
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)

* The above form, if submitted electronically, will be sent to BYC for processing

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Last modified : Friday, January 14, 2005
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