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Race Registration Form

Complete the following form and check the box that you agree and accept the terms of the registration, then you will proceed to a secure online shopping cart to enter your payment information.

General Information  
First Name:*  
 
Last Name:*  
 
Address Line 1:*  
 
Address Line 2:  
 
City:* State:* Zip:*
Phone Number:*  
 
E-mail Address:*  
 
Emergency Contact Information
Contact Name*
Contact Telephone*
Club Information
Yacht Club Affiliation
Are you a member of:
Rudder Club?  Yes
US Sailing?  Yes #
  
Boat Information
Boat Name:* Sail Number:*
Boat Make/Model*  
 
Crew Members*  
   
Class / Rating System  
Check Option* Rating
  One Design
  Open Multi
  Open Mono
  Portsmouth
  PHRF
  CRUISER
     
Class Grouping*  
  Spinnaker  
  Non-Spinnaker  
     

Release of Liability

In consideration of the acceptance of my application to enter this yacht race, I hereby waive, release and discharge any and all claims for damages for death, personal injury or property damage which I may have or which may subsequently accrue to me as a result of my participation in the yacht race. This release is intended to discharge the promoters, sponsors, the promoting clubs, the officials, any involved municipalities and other public entities (including the United States Sailing Association, if applicable) from and against any and all liability arising out of or connected in any way with my participation in the yacht race, even though that liability may arise out of negligence or carelessness on the part of the persons or entities mentioned above.

I further understand that serious accidents occasionally occur during yacht racing events and that participants in yacht racing occasionally sustain mortal or serious personal injuries and/or property damage as a consequence thereof. I knowingly assume the risks of yacht racing and release and hold harmless all of the persons or entities mentioned above who might otherwise be liable to me or my heirs or assigns for damages.

It is the captains's responsibility to obtain a signed release from each member of his or her crew before the race begins. In the event the captain fails to obtain a release from a crew member, the captain agrees to protect and hold harmless the persons or entities mentioned above from any claims for damages or compensation that they may have to pay arising from injuries to that crew member due to the negligence of the persons or entities mentioned above.

I agree to abide by the rules, regulations and sailing instructions of the yacht race and the United States Sailing Association

"I agree to the teams and conditions outlined in this agreement and stipulations herein

Skippers Name:* Today's Date:*
   
Click Submit to proceed to Checkout  

Contact Us

Address:
8533 Malaga Avenue
Orange Park, FL 32073
Telephone/fax:
904 264-4094
email the office

Office Hours:
Tuesday - Friday
9 am - 1:30 pm

Bar Hours:
Saturday 12 - 6 pm
Sunday 1 - 5 pm