New Bedford Yacht Club
WHALERS' RACE - Date to be determined
Entry Form
SAIL NUMBER YACHT NAME SKIPPER RATING
____________!_________________________!_____________________________________/________
Each entrant MUST have sail numbers on her sail.
SKIPPER'S NAME: ___________________________________________________________________
SKIPPER'S ADDRESS: ________________________________________________________________
CITY_____________________________________STATE: ____________ ZIP CODE: ___________
TELEPHONE: HOME (____)______________________ BUSINESS (____)_____________________
CLUB AFFILIATION: __________________________________ YACHT TYPE: ________________
OWNER'S NAME (if not skipper) ________________________________________________________
OWNER'S ADDRESS (if not skipper) _____________________________________________________
Current PHRF Rating: ________________ Current NEMA Rating: _______________
Number in Crew including Skipper: ___________
Class Entered: Monohull _________ Racing _______ Cruising _______
Doublehanded _____Racing _______ Cruising _______
Multihull _______
Member of US Sailing: Yes _____ No _____
DEADLINE for registration: Friday,
Entry MUST be accompanied by: Current PHRF-NE Certificate or NEMA Certificate
$65.00 Entry Fee for country-regionplaceU.S. Sailing members $75.00 for non U.S. Sailing members
(checks should be made payable to New Bedford Yacht Club, Inc.)
and mailed to: New Bedford Yacht Club
P.O. Box P-4
South Dartmouth StateMA PostalCode02748-0301
For further information call (508)997-0762.
Release: In consideration of the acceptance of my application in the above event and with an understanding that there are risks inherent in sailboat racing, I do for myself, my personal representative, family, heirs, and assigns waive all claims against and release and discharge New Bedford Yacht Club, their respective officers, directors, agents, members, employees, servants and race committee personnel, from any and all claims, demands, liability, causes of action arising out of the participation of the above vessel in the above event. Further, I hereby represent and warrant that the above vessel in the above event will be outfitted, crewed, equipped and handled in such fashion as to be safe and seaworthy, that the above vessel will have all necessary equipment on board and that it will be competently manned and skippered. I further acknowledge that the responsibility for operation of the above vessel, including but not limited to the decision as to whether to race, rests solely, exclusively and finally with the owner and skipper. I further warrant and represent that I have the authority to make the above commitments on behalf of the owner of the vessel. Retirement: Should I retire from a race, I understand that prompt notification of the Race Committee or host Club is mandatory.
OWNER'S SIGNATURE _______________________________________________________ DATE__________