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Register For

31st Annual Lakewood Yacht Club Harvest Moon Regatta®

and Sail-a-thon for Ovarian Cancer Awareness


October 5 - 8, 2017
 
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Event Fees

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Skipper Information

Items marked with a * are required unless stated otherwise.

Have you registered with US SAILING Regatta Network before? Enter your name and US SAILING Number, then click the 'Look Up My Information' button below to retrieve your information tied to your US SAILING number.
Skipper First Name*:
Skipper Last Name*:
US SAILING # (USA ONLY):
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($10.00 Registration discount for members)
 
Are you a woman with an all woman crew? (One male owner's rep allowed)
Additional Skipper/Owners:
ZIP/Postal Code*:
Address*:
City*:
State/Province*:
Country*:
Phone Number*:
Cell Phone Number:
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Email Address*:
Email Address Confirm*:
Yacht Club Affiliation*:
Birthdate*:
Sex:
   
Emergency Contact Name*:
Emergency Contact Relationship*:
Emergency Contact Phone*:
Are you a member of Texas Mariners Cruising Association?:
Boat Information
   
Boat Name :
Boat Manufacturer :
Boat Model/Type :
Length Overall*:
In Feet (convert inches to decimal)
Draft* :
In Feet (convert inches to decimal)
Beam* :
In Feet (convert inches to decimal)
Sail Plan :
Sail Number* :
Hull Color :
Desired Class :
Handicap rating if known.
(TOMA, ORC TOT or Cruising PHRF) :
   

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, the Race Committee, the race sponsors, the Protest Committee, nor 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, 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, 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 that a prudent seaman would consider advisable.  I understand that my entry will not be complete until liability waivers are submitted by me and by each of my crew members.  I understand that my vessel must comply with US Sailing Special Equipment Requirements and that my vessel is subject to inspection and disqualification if it does not comply with these requirements.


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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