2009 Ski to Sea Regatta
Bellingham Yacht Club
June 6th & 7th, 2009
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Skipper |
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Address |
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City |
State
Zip
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Day
Phone |
Email
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Name
of Skippers Yacht or Sailing Club |
Sail Number
(enter x if unknown) |
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Type |
Hull Color
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US Sailing #
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Crew
Names
1 per line, contact phone and e-mail |
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Class Choice |
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Adult:
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Hobie Cat
Laser
Laser II
Byte
Megabyte
Other |
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Youth (22 and under):
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Hobie Cat
Laser
Laser II
Byte
Megabyte
Other |
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Opti:
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Red (12,13,14)
Blue (10 & 11)
White (9 & under)
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Event
Waiver:
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 on my boat may incur
which are associated with my participation in this event
and related activities.
I accept the above statement:
Full Name:
Date:
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Parent/Guardian
Approval/Waiver:
I,
, the parent or guardian of the Applicant, agree on behalf of my child/ward
to hold harmless the Bellingham Yacht Club, its Directors, Officers, Members,
the Sailing Foundation, the City of Bellingham, the Instructors, or anyone
else connected with this program from any claim arising from any injury my
child/ward may suffer in the course of participating in this Junior Sailing
Program, and I hereby authorize the Junior Sailing Program Leaders, Employees,
Volunteers, Organizers, and/or other Bellingham Yacht Club personnel to sanction
emergency treatment for the Applicant if none of the above persons (Parent/Guardian
or Emergency Contacts) can be reached.
I accept the above statement:
Parent/Guardian full name:
Date:
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Single Handed |
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$35 |
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Double Handed |
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$50 |
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Three or More Handed |
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$65 |
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US Sailing Discount |
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- $5 |
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Ski to Sea 2009 T-Shirt Qty:
@ $15 |
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List Sizes: s, m, l, xl, 2xl |
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TOTAL: |
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Bill
my Credit Card: |
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Card
number:
Exp. Month
Year
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Name
on Card:
Visa
MasterCard |
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I
will call to give you my Credit Card information.
(Call 360-733-7390.) |
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I
will mail a check to:
(fil
in and include this form)
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Bellingham
Yacht Club
2625 Harbor Loop
Bellingham, WA 98225 |
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NOTE:
BEFORE SUBMITTING THIS FORM WE SUGGEST THAT YOU PRINT A
COPY FOR YOUR RECORDS. |
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