MYC Wed Evening Entry 2010 Form

Skipper( Full Name)* Phone #*

Boat Name* Sail Number*

Boat Type&Model* Hull Color*

US Sailing Member # MYC Member*

PHRF Race Rating* PHRF Cruise Rating*

email address*

Cell Phone #

Practice Race June 08,2011 yes no Free

July Series yes no MYC Members $55.00 Non Members $75.00

August Series yes no MYC Members $55.00 Non Members $75.00

ONCE YOU SUBMIT THIS FORM,
YOU WILL BE DIRECTED TO THE ONLINE PAYMENT PAGE
There will be a $10.00 late fee for entries received after 6/08/2011
Agree to Waiver *By submitting this entry and participating in this event, I understand that I voluntarily assume and acknowledge the risks of sailing. By submitting this form, I agree to hold harmless and free of any liability the Mattapoisett Yacht Club, it’s members, or individuals appointed or volunteering on the Race Committee, for any damage - material or personal - suffered by me or any of my crew members, during racing or otherwise.

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Wednesday Evening Race Series 2011 Entry Form