Race Entry Form ☐ San Juan 21 North American Championships $110 ☐ Spinnaker Fleet ☐ Working Sail Fleet ☐ San Juan 24 North American Championships $110 Boat Name
Sail No.
Skipper’s Name Street Address City
State
Cell Phone
Zip
E-Mail Address
The undersigned, skipper of the above named Boat, acknowledges that I have sole responsibility for the safety of my crew and yacht. I agree that the Oak Harbor Yacht Club, the Race Committee, and any other sponsors of the race or series are in no way to be held responsible for accidents, damage or injury to property or to yachts, crew or guests arising from any cause during or related to any race or activities of the race. Each Skipper and his/her crew must evaluate weather and sea conditions and each participant is responsible for determining whether it is safe for him or her to participate. The responsibility of wearing a life jacket rests upon the Skipper and his crew. If Committee vessels and personnel provide assistance, it is at the risk of the participants. I hereby agree to all of the Conditions and shall inform each member of my crew of these Conditions. I hereby represent that my yacht has liability insurance currently in effect, covering property damage, personal injury and death in an amount not less than $300,000 per occurrence, and that the policy covers yacht racing activities. Signature of Skipper__________________________
Owner
Charter
Date ___________________________ Total submitted with registration
Contact: Erik Mann Sail Fleet Captain 360-632-6572
[email protected]
(from “Total Submitted” on next page)
$__________
Mail: OHYC Sail Fleet 1301 Catalina Drive Oak Harbor, WA 98277
(Please complete following page to finish your registration)
Boat Name:
Skipper Name:
San Juan 21 Fleet (Deadline for food orders: May 30th) Price Registration
$110
Additional Thursday night bbq tickets (4 included with entry)
$10 each
Friday night catered fleet dinner in OHYC Ballroom
$25 each
Additional Saturday night dinner at El Cazador (2 included with entry)
$10 each
# 1
Total $110
Number of vegetarian meals List dietary restrictions:
(Line A)
Total registration and meals: ______
San Juan 24 Fleet (Deadline for food orders: May 30th) Price Registration
$110
Additional Friday night bbq tickets (4 included with entry)
$10 each
Saturday night catered fleet dinner in OHYC Ballroom
$25 each
# 1
Total $110
Note the number of vegetarian meals List dietary restrictions:
(Line B)
Total registration and meals: ______
Regatta Gear (Deadline for apparel orders: May 30th) Style Sm Med Lrg XL XXL
XXXL
Price
Short sleeve T-shirt
#
#
#
#
#
#
$15.00 Each
Polo Shirt
#
#
#
#
#
#
$25.00 Each
¼ zip performance fleece
#
#
#
#
#
#
$35.00 Each
Hat
(One included with each boat entry)
# addt’l
Total
$20.00 Each
(Line C)
Total Apparel:
______
Add lines A or B, AND C above
Total Submitted:
______
Please make checks payable to “Oak Harbor Yacht Club” Mail to: OHYC Sail Fleet, 1301 Catalina Drive, Oak Harbor, WA 98277
