Name of Skipper:____________________________________________________________________
Street Address:
______________________________________________________________________
City:
Primary Phone: ________ /__________________________
_
Email Address: _____________________________________
Boat Name: _________________________________
Boat Make/Year: _________________________
Length Overall: ________________
Sail Number/Markings.:__________________ Spinnaker: Yes/No
Portsmouth Rating _______________________(will be provided if not known)
Early-Registration fee ($30.00) _______________ (Forms received day of race add $5.00)
Number of Dinners at $14.00 Ea. __________
Total Amount Enclosed: $________________
Make Checks Payable To:
Jodie Hunter
Send to:
For info call 407-841-6859
RELEASE AND HOLD HARMLESS AGREEMENT; ACCEPTANCE OF
RACING RULES:
IN CONSIDERATION OF BEING
PERMITTED TO ENTER THESE RACES AND BEING FULLY KNOWLEDGEABLE OF THE RISK OF
SAILING AS A COMPETITIVE SPORT (INCLUDING SERIOUS OR EVEN MORTAL INJURY AS WELL
AS PROPERTY DAMAGE OR LOSS), THE UNDERSIGNED (“SKIPPER”), FOR AND ON BEHALF OF
HIM-/HERSELF, ALL CREW MEMBERS OF HIS/HER VESSEL, AND ALL GUESTS ABOARD AGREES
VOLUNTARILY TO ASSUME ALL RISKS ASSOCAITED WITH PARTICIPATING IN THESE RACES
AND FURTHER TO RELEASE AND HOLD HARMLESS THE CENTRAL FLORIDA YACHT CLUB (“CFYC”),
ITS OFFICERS, ITS MEMBERS, ITS GUESTS, AND ITS AGENTS FROM ANY AND ALL CLAIMS
AND LIABILITY FOR OR ON ACCOUNT OF DAMAGE OR INJURY TO HIM/HERSELF, HIS/HER
BOATS, AND HIS/HER OTHER PROPERTY, OR TO PERSONS OR PROPERTY OF OTHERS ARISING
OUT OF OR OCCURRING AS A RESULT OF PREPARATION FOR, PARTICIPATION IN, OR
FOLLOW-UP TO THESE RACES. AND THE UNDERSIGNED FURTHER RELEASES GAYC, ITS
OFFICERS, MEMBERS, ITS GUESTS, AND ITS AGENTS FROM ANY AND ALL CLAIMS AND
LIABILITY FOR OR ON ACCOUNT OF DAMAGE OR INJURY TO HIM/HER SELF, ALL CREW OF
HIS/HER VESSEL AND ALL GUESTS ARISING OUT OF OR OCCURRING AS A RESULT OF
PREPARATION FOR, PARTICIPATION IN, OR FOLLOW-UP BY OTHERS FOR THESE RACES. AND
THE UNDERSIGNED ACCEPTS THE SKIPPER’S RESPONSIBILITY TO OBTAIN A SIGNED RELEASE
FROM EACH OF HIS/HER CREW AND GUESTS BEFORE THE RACES BEGIN. IN THE EVENT OF
FAILURE TO OBTAIN SUCH A RELEASE, THE UNDERSIGNED AGREES TO PROTECT, INDEMNIFY,
AND HOLD HARMLESS GAYC, ITS OFFICERS, MEMBERS, ITS GUESTS, AND ITS AGENTS FROM
ANY AND ALL CLAIMS AND LIABILITY FOR DAMAGES OR COMPENSATION THE SKIPPER MAY
HAVE TO PAY ARISING FROM INJURIES TO ONE OR SEVERAL OF THE UNDERSIGNED’S CREW
AND/OR GUESTS.
THE UNDERSIGNED ALSO AGREES TO ABIDE BY THE RACING
RULES OF SAILING AND THE SAILING INSTRUCTIONS AND INSTRUCTIONS OF THE RACE
COMMITTEE FOR THIS REGATTA.
SKIPPER’S SIGNATURE _________________________________________________DATE
____________________________