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09-04-2012

Registration
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NERYC INTER FLEET RACE
INCORPORATING THE CHARLESTOWN CUP
OCTOBER 22ND 2011

BOAT NAME: SAIL #:

MAKE: COLOR: LENGTH:

PHRF RATING: UNKNOWN PLEASE ASSIGN A RATING:
AFFILIATIONS: CLUB:

SKIPPER:

ADDRESS:

CITY: STATE: ZIPCODE:

PHONE: CELL:

USER-EMAIL:

TERMS AND RELEASE
1. I AGREE TO ABIDE BY THE NERYC REGULATIONS AND SAILING INSTRUCTIONS FOR THESE EVENTS, AS WELL AS THE ISAF RACING RULES OF SAILING INCLUDING US SAILING PRISCRIPTIONS, AND THE PHRF OF THE CHESAPEAKE SAFETY PROVISIONS. 2. IN CONSIDERATION OF PERMISSION TO ENTER THESE EVENTS, BEING KNOWLEDGEABLE OF THE RISKS OF SAIL RACING, AND KNOWING THAT IT IS MY SOLE RESPONSIBILITY TO DECIDE WHETHER TO ENTER OR CONTINUE ANY RACE, I VOLUNTARILY ASSUME THE RISKS OF PARTICIPATION IN THESE EVENTS AND RELEASE THE NORTH EAST RIVER YACHT CLUB, AND PERSONS CONDUCTING THIS EVENT, FROM ANY AND ALL LIABILITY IN CONNECTION WITH ANY INJURY, OR DAMAGE OF ANY KIND THAT MAY OCCUR TO ANY PERSONS OR PROPERTY DURING THESE EVENTS. I FURTHER AFFIRM THAT MY ENTERED BOAT IS COVERED BY THE APPROPRIATE THIRD PARTY LIABILITY INSURANCE WITH COVERAGE OF NO LESS THAN $ 300, 000.

I AGREE REQUIRED (YOU MUST SELECT I AGREE IN ORDER TO SUBMIT THIS FORM)

HOW MANY WILL ATTEND THE CHILI BRING AND SHARE SOCIAL?
# OF ATTENDEES: PLEASE LET US KNOW WHAT YOU PLAN TO SHARE - EMAIL SHARLENE AT INFO@NERYC.COM

VISITORS MAY TIE UP TO ATTEND THE PARTY FOR FREE OR PAY A FEE OF $25 TO STAY THE NIGHT
INDICATE IF OVERNIGHT DOCKAGE IS REQUIRED:

ADDITIONAL COMMENT:

NOTE:
RACE FEES: $10

ALL RACE FEES DUE PRIOR TO THE RACE AND ACCEPTED AT THE SKIPPERS BRIEFING

RECEIPT OF THIS REGISTRATION MUST BE CONFIRMED BY THE SRC BY RETURN OF EMAIL. IF YOU DO NOT GET A RESPONSE WITHIN 48 HOURS, PLEASE CONTACT INFO @NERYC.COM TO ADVISE.

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