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Register For
Snipe North American Championship
Lauderdale Yacht Club

May 19 - 21, 2017
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Event Fees

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Skipper Information

Items marked with a * are required unless stated otherwise.

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Skipper First Name*:
Skipper Last Name*:
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Class Member:
ZIP/Postal Code*:
Country Representing*:
Phone Number*:
Cell Phone Number:
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Email Address*:
Email Address Confirm*:
Crew Size Including Skipper:
Emergency Contact Name*:
Emergency Contact Relationship*:
Emergency Contact Phone*:
List Any Medical Conditions*:
List Any Medications Taken*:
List Any Allergies or
Special Dietary Requirements*:
Boat Information
Sail Number* :
Desired Class :

I warrant that I have read and do understand and agree to abide by all Rules and Conditions of this event and all applicable LYC Rules, Regulations and Policies. I hereby warrant that my equipment, if any, whether owned by me or others, will be outfitted and handled in accordance with those Rules and Conditions, as well as all applicable LYC Rules, Regulations and Policies. I do for myself, my executors and administrators, heirs and assigns, waive any and all claims as my accrue to me or them against Lauderdale Yacht Club, its appropriate Committee, its Officers, Governors, members, employees and agents and any one or more of them, arising out of Participant's participation in this activity, or arising from any related activities whether occurring on or off the property of Lauderdale Yacht Club. I do further agree to and do hereby indemnify the aforesaid Lauderdale Yacht Club and persons from any claim, demand or judgment, including cost of fees and expenses through all levels of appeal incurred in defense of such claims, brought because of my claimed actions, or caused or brought by me, or my administrators, heirs, next of kin and assigns arising out of participant’s participation in this or any related activities, whether occurring on or off the property of LYC, and also including the cost of all fees and expenses through all levels of appeal incurred in enforcing this Agreement.

I agree to the above:

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