Form Page: CRW

CLEVELAND RACE WEEK 2010

PHRF, JAM, PHRF-ONE DESIGN

Registration for this event is restricted to mono-hulls only.
If requesting registration as a non-listed class, please contact Edgewater Yacht Club at 216-281-6470 or E-mail mdills@lakeboats.com

REGISTRATION CLOSES 8:00 PM JUNE 22, 2010

Owner's / Skipper's Information

First Name:

Last Name:

Street Address:

Zip/Postal Code:

Country:

City:

State/Prov:

Day Phone or Cell Number (Including Area Code):

Email:

Yacht Club/Organization ( If none, Enter "NONE" ):

Select YES or NO. Non-US Sailing members are charged $10.00. All memberships are verified.

U.S. Sailing Member ?

Boat / Yacht Information

Boat Name:

Sail Number (Include ALL Letters & Digits):

Class:

If registering for PHRF or JAM, enter the following boat information.

Otherwise, Go To Payment Information.

If NO, Pick from the list the most recent year a PHRF-LE certificate was issued:

Does this boat have a current & valid PHRF-LE Rating Certificate ?

YES

If "YES" YOU CAN NOT REGISTER ON-LINE. Return to the main page and register by mail, fax or in-person.

Has this boat been modified (example: underwater apendages, rig, ballasting,
pole length, keel, rudder, engine type) since this certificate was issued ?

If known, enter cooresponding certificate rating:

If you don't know, leave blank. All Ratings Are Verified

Model:

Year:

Mfg:

Beam:

Engine:

Draft:

LOA

Payment Information

Registration Fee $ 90.00

(Includes race fees, dockage and two wristbands)

Non-U.S. Sailing Fee ($10.00) $

Wristbands Are Required For All Participants and Guests. Order additional bands here.

Extra Wristbands @ $10.00 each

Total For Extra Wristbands $

TOTAL DUE U.S. FUNDS $

Payment Method

If Paying With Edgewater YC
Member Charge, Enter Number Here:

Limited Waiver & Release

LIMITED WAIVER AND RELEASE
In consideration of allowing my boat to race in the CLEVELAND RACE WEEK, I hereby agree to abide by and be bound by The Racing Rules of Sailing (RRS), as issued by the International Sailing Federation, the Prescriptions of U. S.Sailing, the published Notice of Race and Sailing Instructions in effect at the time. I ALSO DO HEREBY WAIVE,RELEASE AND CANCEL ANY AND ALL CLAIMS WHICH I MAY OR HEREAFTER HAVE AGAINST EDGEWATER YACHT CLUB, ITS OFFICERS, EMPLOYEES, TRUSTEES, RACE ADMINISTRATOR AND ANY COMMITTEE PERSONS and VOLUNTEERS WHICH DO OR DOES ARISE OUT OF MY PARTICIPATION OR UNDERTAKING TO PARTICIPATE IN THE CLEVELAND RACE WEEK, EXCEPT FOR ACTS WHICH ARE NOT RELATED TO OR NECESSARY FOR THIS EVENT. I will obtain and maintain appropriate liability insurance for damage or injury caused by my actions or negligence and, I have read and understand RRS rule 4 Decision To Race.

I agree with the statement to the right

By checking the box to the left and submitting this registration, I certify that the information entered on this form is accurate and true. Additionally, I agree to the Limited Waiver and Release herein and acknowledge that in order to compete in this event all fees must be paid and this form must be completed and presented to the organizing authority prior to the close of registration.