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Register For
2017 J/105 North American Championship
Lakewood Yacht Club

October 25 - 29, 2017
 
View this form in:
Event Fees

2017 J/105 NAC Registration Fee:
 
$750.00
 

Skipper Information

Items marked with a * are required unless stated otherwise.

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Skipper First Name*:
Skipper Last Name*:
US SAILING # (USA ONLY)*:
  Look Up My Information
Member of J/105 Class Association?
ZIP/Postal Code*:
Address*:
City*:
State/Province*:
Country*:
Phone Number*:
Cell Phone Number:
  Allow text messages from event organizer
Email Address*:
Email Address Confirm*:
Yacht Club Affiliation*:
Birthdate*:
Sex:
Crew Size Including Skipper:
   
World Sailing Sailor ID*:

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Emergency Contact Name*:
Emergency Contact Relationship*:
Emergency Contact Phone*:
Some of our sponsors may appreciate the opportunity to contact regatta participants directly to offer help and advice related to the event and their product. Would you agree to us providing your email address (not phone number) to sponsor companies that request it for this purpose? :
Boat Information
   
Boat Name :
Sail Number* :
Bow Number :
Desired Class :
 
Do you have a current Rating/Measurement Certificate:
   

WAIVER AND RELEASE OF LIABILITY 


1.      I recognize that sailing is an activity that has an inherent risk of damage and injury associated with it. I have read Racing Rule of Sailing #4, Decision to Race, of The Racing Rules of Sailing and hereby acknowledge and agree that I am participating in this event entirely at my own risk.


2.   I acknowledge and agree that neither Lakewood Yacht Club, Bay Access, Inc., the Race Committee, the race sponsors, the Protest Committee, or their respective members, officers, boards of directors, staff or representatives, will be responsible for  


a.   any damage to the entered boat or my other property, or 


b.   any injury, including death,  


sustained as a result of my participation in this event, regardless of the fact that such damage may, in whole or in part, be due to the negligence of Lakewood Yacht Club, Bay Access, Inc., the Race Committee, the race sponsors, the Protest Committee, or their respective members, officers, boards of directors, staff or representatives. 


3.   To the fullest extent permitted by law, I hereby WAIVE any rights I may have to sue the Race Organizers (including Lakewood Yacht Club, Bay Access, Inc., the Race Committee, the race sponsors, the Protest Committee, and/or their respective members, officers, boards of directors, staff or representatives) with respect to personal injury or property damage suffered as a result of my participation in this event and hereby RELEASE the Race Organizers from any liability for such injury or damage to the fullest extent permitted by law whether caused in whole or in part by negligence.


4.      I have taken all necessary steps to ensure that I and the entered boat are adequately prepared for all possible contingencies, including appropriate safety equipment as may be required by law or or that a prudent seaman would consider advisable. 


5.      I understand this document has important legal consequences and have consulted such legal and other advisors as I deem appropriate before signing.  


By selecting "yes" below, I indicate my intent to affix my electronic signature to this Waiver and Liability Release.



I agree to the above:
 

 
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