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The National Hospice Regatta Championship
Entry Form Invited Skippers will receive mailed copies of this form,
but may print this page to complete and mail according to the instructions
in Notice of Race section 5.0.
SKIPPER NAME _____________________________________________________________
ADDRESS ___________________________________________________________________
CITY __________________________________STATE ____________ZIP CODE __________
DAY PHONE ___________________________ NIGHT PHONE ________________________
FAX ___________________________________EMAIL _______________________________
US SAILING member Yes / No (Circle One) US SAILING NO._________________________ |
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By entering and starting this race, as the Skipper of the entry, I
agree to comply with all conditions of the race and decisions of the
National Hospice Regatta Alliance and its appointed Race Committee,
and do for myself, my personal representatives, heirs and assigns, waive
any and all claims as they may accrue to them against The National Hospice
Regatta Alliance, its appointed Race Committee, the Lauderdale Yacht
Club, their officers, directors, members, employees or agents, and any
one or more of them arising out of my participation or the participation
of my assigned yacht in these races or arising from any activities related
to this event. As Skipper, I further acknowledge and agree that neither
the National Hospice Regatta Alliance, its appointed Race Committee,
the Lauderdale Yacht Club, their officers, directors, members, employees,
or agents, assumes or accepts any liability or responsibility for property
damage to any boat or personal injury to me, my crew, or friends suffered
while participating in these races, including pre-race and post-race
activities. As Skipper, I acknowledge and agree that the decision to start or to continue a race is solely my responsibility. I hereby give permission for my image, voice, boat, and crew to be photographed and used in promotion of this event and/or other related events.IYRR 1.4 I understand, in the event of a serious breach of conduct, the destruction of property or the failure to comply with a request of the Race Committee to remove my yacht or crew member(s) from the premises, the Race Committee may reject my entry and hold me financially responsible for any and all damages.SIGNATURE _____________________________________________DATE ______________________ |
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CREW WEIGHTS |
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Crew information is required for all yachts. Max crew weight is 440 Kilograms (970 lbs.) excluding the Owner or Owner Representative. |
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Skipper Name__________________________ Address______________________________ City, ST Zip ___________________________ Weight _______________ |
Crew Name___________________________ Address______________________________ City, ST Zip ___________________________ Weight _______________ |
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Crew Name__________________________ Address______________________________ City, ST Zip ___________________________ Weight _______________ |
Crew Name__________________________ Address______________________________ City, ST Zip ___________________________ Weight _______________ |