Captains Name:*        
Address:
             
             
      City  State:   Zip:
Telephone No:*        
Email Address:*        

Yacht Name:      Make & Length:
Sail Number:

Number of Crew:     PHRF rating:
Inboard/Outboard: Inboard Outboard

Fleet Desired: Monohull Non-Spinnaker Monohull Spinnaker Multihull Type & length

Catamran Class & Length:   Portsmouth Rating:

Early Registration Fee for the Regatta:   $50 (US)  TSC Members $45
Race package includes One dinner ticket and One Race Shirt
Entry fee for registrations received after May 6^th 2010 will be $55
On-Line registration will be postmarked with the date of the E-mail.  Payment will be due by May 29^th.

Entry Fee __________          $       Your Shirt Size  M L XL XXL    
                                                                                  Extra Race  Shirts
Extra Dinner Tickets @ $15   $                          Size: Medium   Qty
Extra Race Shirts @ $12        $                          Size: Large    Qty
                                                                                Size: X-Large Qty
Total Due __________           $                        Size: XX-Large Qty

I hereby release the Tucson Sailing Club and any other sponsoring group, its officers, agents, or committee members from any and all liability arising from the race to the extent that such release does not discharge my insurance carrier under the provisions of the insurance policies on my yacht. I assume any risk of personal injury, death or property damage arising from my participation in the regatta, failure or breakage of my yacht, or of any of its equipment or as a result of adverse weather conditions. I certify that I have apprised the Race Committee of any performance-altering modifications to my yacht.
A Copy of this Form MUST be SIGNED by the Captain before participating in the regatta.

If you wish to mail  payment
Make check payable to TUCSON SAILING CLUB and mail to:

 

Bill Ahrens
Race Chairman
2441 Lloyd Bush Dr.
Tucson, AZ 85745

 

  * INDICATES REQUIRED INFORMATION