Stonewall Sails 2007 - Skipper Registration Form

KSA
Knickerbocker Sailing Association


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Stonewall Sails - Skipper Registration Form

Racing Home Stonewall Sails Notice Of Race Registration

Name(first*/last)

Address

City

State/Prov

(US & Canada only)

Zip/Postal Code*

Country

(if not US or Canada)

Phone*

E-mail*

Re-Type E-mail*

Contact Option*

Would you prefer to be contacted by phone or email ?

Club Affiliation

Gender

Male Female Transgendered

Agreement*

In consideration of this acceptance, I hereby agree that the safety of my yacht and her crew, and the decision whether or not to start or to continue to race, is my responsibility and not that of any person sponsoring or undertaking such a race or activity. I hereby waive all claims which I may have against Knickerbocker Sailing Association and Newport Sailing and their respective officers, directors, members, committees, employees or agents, arising out of or in any way connected with my participation in any race or related activity sponsored or undertaken by any of them. I will inform my insurance underwriter of this waiver and inform all crew members of any yacht which I sail in any such race or activity of their responsibilities for safety. I agree that this waiver is binding on my heirs, representatives, successors, and assigns.

I agree*

Registration
Type & Price

	Boat Fee	Race Fee
	Boat Fee	(thru May 16)	(after May 16)
Club Boat	$500/team	$50/person	$65/person
Practice Boat	$150/team
Security Deposit	$600/team

You will be billed after submitting this form.

Emergency Contact Information:

Name

Relationship

Phone Number

Crew
(first/last/email)

I would like access to information on available crew

Spinnaker

I would prefer to race with a spinnaker or without a spinnaker

Skippers must provide information on their sailing and racing experience and be approved by the Race Committee.

Paste Your
Sailing Résumé
Here

Verify image*

To submit this form, please enter the characters you see in the image and then press Submit : (Characters are case sensitive)

If you cannot read the image, click for a new one

Please Note: All forms and funds must be received no later than May 31st


Home	About KSA	Activities	Racing	Links	Contact KSA	Members Only