2008 Snipe Class Women’s

Nationals/NA Championship Registration Form

 

Skipper’s name: ____________________________  _________________________________________

                                                First                                                  Last

Address: _____________________________________________________________________________

 

City: __________________________________________ State: ________ Zip: _____________________

 

Phone number: ________________                                      E-mail address: __________________________

 

SCIRA Member:                      Yes □   No □            Sail number: _________________

 

Crew’s name: ____________________________  ____________________________________________

                                             First                                                             Last

Address: ______________________________________________________________________________

 

City: __________________________________________ State: ________ Zip: _____________________

 

Phone number: ________________                                      Email address: __________________________

 

SCIRA Member:                      Yes □   No □            

 

*All boats, skippers and crew must have 2008 SCIRA registration and membership to participate in this event.

 

Women’s National Championship Registration fee:                                                                                $75.00

(Includes Saturday Dinner and Sunday Banquet for Skipper and Crew)

Late Fee (Entries postmarked after April 30, 2008)                                               $10                    =  _________

SCIRA Membership (Skipper and Crew)                                                               $20/person         = _________

Saturday Night Dinner for Non-participants                                                           $10/person         = _________

Sunday Night Award Banquet for Non-participants                                               $25/person         = _________

US Sailing Member     Membership #   ____________(Discount)                                      $(5)         = _________

 

                                                                                                                                         Total:         =  _________

 

Please make checks payable to Snipe Fleet 444 and send them along with the completed form to:

Kirk Smith (Regatta Chairperson)

5222 120th Ave. S.E.

Bellevue, WA. 98006

 

Please enter my boat in the above regatta

In consideration of your acceptance of my entry, I hereby agree to the following conditions:

1. My boat may be inspected before or after any race.

2. I hereby release the Club, its officers, agents and committeemen from any and all liability for any injury to myself, crew or yacht arising out of their conduct of this race/series.

3. I assume any risk of injury arising out of my participation in the race(s), failure or breakage of my boat or any of my equipment or weather conditions.

4. I certify that the information given is correct and that I agree to the conditions above.

 

SIGNED: ___________________________________________DATE: ____________________