STONINGTON HARBOR YACHT CLUB
Race Entry Form
Name of Race, Series, or Regatta (use name of NOR):_______________________________________
Date of Race or Starting Date of Series:___________________________________________________
Name of Boat: ______________________________________________Sail #_____________________
Name of Boat Owner/Skipper:__________________________________________________________
Address: ____________________________________________________________________________
Phone: ____________________________ Email ___________________________________________
Type of Class of Boat:_______________________________________LOA:_____________________
PHRF Rating, if appropriate:__________________________________________________________
Registration Fee (see NOR):_______Attach check payable to Stonington Harbor Yacht Club
Boat owner on behalf of his/her self, his/her crew and his/her boat must sign waiver printed below.
READ FIRST – THIS AGREEMENT CONTAINS A RELEASE AND WAIVER
RELEASE, WAIVER AND COVENANT NOT TO SUE
The undersigned acknowledges that in consideration of the efforts of the host organization(s), for being allowed to participate in this regatta/race and the acceptance of this application to race, HE/SHE DOES HEREBY WAIVE AND RELEASE ANY AND ALL CLAIMS THE UNDERSIGNED MAY HAVE AGAINST THE ORGANIZER(S), ITS OFFICERS, DIRECTORS, OR TRUSTEES AND ITS COMMITTEE MEMBERS, JUDGES, AGENTS AND REPRESENTATIVES ARISING OUT OF THE ACTIVITIES REQUIRED FOR THE RACES ON THE WATER, AND DOES FURTHER COVENANT AND AGREE NOT TO SUE OR TO BRING CLAIM OR CLAIMS OF ANY NATURE WHATSOEVER AGAINST THE ORGANIZING ORGANIZATION(S) OR ANY OF THE PERSONS AND OFFICERS NAMED, OR UNNAMED, ABOVE WHO MAY BE ACTING ON THE ORGINIZER(S)’ OR ITS/THEIR BEHALF.
Further, the undersigned agrees to be bound by the Racing Rules of Sailing 2009-1012, the Sailing Instructions, and other rules that govern this race/regatta.
Signed:____________________________________________________ Date:______________
(Boat Owner on behalf of his/her self, his/her crew, and his/her boat)
Home Owner’s/Boat Insurance Policy Company:____________________________________
Policy Number and Expiration Date:______________________________________________
If the skipper or crew is under the age of eighteen, his/her parent or guardian must complete the following section:
I hereby grant permission for ______________________________to participate in the Stonington Harbor Yacht Club races and I further agree on his/her behalf to the terms of the above waiver and statement of responsibility.
Parent / Guardian Name: (Print) __________________________________________________
Signature: __________________________ Date:____________________________
Return to Stonington Harbor Yacht Club, Attn. Race Committee, P. O. Box 87, Stonington, CT 06378
