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Bellingham Yacht Club
2011 PITCH Regatta Registration
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| Skipper |
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Address
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City
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State
Zip
Country
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| Phone |
Email
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| Yacht Name |
Sail Number
PHRF
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Yacht Type |
Length Overall
Hull Color
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| Yacht Club |
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| *A copy of your current PHRF Certificate is
REQUIRED prior to receipt of race packet at checkin. |
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| Crew Names
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(Name, Phone & Email) |
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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.
By completing this section I accept the above statement: Full Name:
Date:
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Pre-Register by 8/20 ($85)
Registration ($115)
Late Registration after 8/27 ($130)
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US Sailing #
Take Discount ($10)
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Dinner Tickets: Advance price - $22 ($25 at the door)
Qty: @ $22
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| TOTAL: |
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| Select Payment Method: |
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Credit Card/Online via GoogleCheckout
Mail in a check*
Pay at the door*
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*Checks must be received by discount date, pay at door is late registration, no discounts apply! |
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