Register For

NBJR 2019
New Bedford Yacht Club

July 6 - 7, 2019

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Event Fees
Skipper Information

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Boat Information

Release and Boat Compliance
RELEASE In the event of accident or injury to myself, my spouse or any child of mine (specifically including my child named above as "Participant") or in the event of illness of myself, my spouse or any child of mine while on or about the premises of the New Bedford Yacht Club while participating in an event under the auspices of the New Bedford Yacht Club where I am unable to consent or am not present:
1. I hereby voluntarily consent to the furnishing to myself, my spouse or any child of mine of such medical care and treatment by any hospital or physician(s) as the hospital or physician(s) deem necessary or advisable.
2. I authorize any officer or member of the New Bedford Yacht Club to consent to such medical care or treatment.
3. I agree to pay the reasonable cost of such medical care or treatment and to indemnify and hold free and harmless of all liability for such cost the New Bedford Yacht Club and its officers and members.
I hereby authorize any x-ray examination, anesthetic, medical or surgical diagnosis or procedure supervised by any member of the medical staff or of a dentist licensed under the State Education Law and/or Public Health Law of the State and of the staff of any hospital holding a current operating certificate issued by the State Department of Health. This authorization is given in advance of any specific diagnosis, treatment or hospital care being required in order to provide authority to render care, which the aforementioned physician in his best judgment may deem advisable. Effort shall be made to contact me before rendering treatment to the patient, but any of the above treatment will not be withheld if I cannot be reached.
SKIPPER WAIVER/BOAT COMPLIANCE per safety boat checklist on Skipper's waiver of responsibility: I hereby absolve the New Bedford Yacht Club, its officers, members, employees, and members of the Race Committee from all responsibility or liability for loss of life or injury to participants or others, or for the loss of or any damage to any vessel, equipment, or other property. I hereby certify that the above mentioned boat will be outfitted and equipped in accordance with the attached Safety Checklist outlined by the Regatta Committee and the regulations governing the class and the conditions of the race, and that I will comply with all government regulations. I assume all responsibility as to seaworthiness. I agree to abide by the rules established for the regatta.

I agree to the above:

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