DYC 2015 Race Entry Form

2015 DYC Race Entry Form

Event Selection

Thursday Night PHRF

Monday Night Centerboard

Dahlgren Cup

St. Clements Island Race

Under the Guns Regatta

Class Selection Spinnaker Non-Spinnaker

Boat Information

Name:

Sail Number:

Make/Model:

Length:

Rating:

Skipper/Owner Information

Yacht Club:

Name:

Address:

Home Phone:

Office Phone:

Cell Phone:

Email:

Waiver Acknowledgement

I agree to abide by the regulations and sailing instructions provided by the Dahlgren Yacht Club for this event. For PHRF entries I certify that this yacht conforms in every way to PHRF Rules and Measurements and is provided with the appropriate safety equipment required by the PHRF Rules. For Portsmouth entries I certify that this yacht conforms in every way to Class Rules and Measurements and is provided with the appropriate safety equipment required by the Class Rules. In consideration of being permitted to enter this event being knowledgeable of the risks of competitive sailing and knowing that it is my sole responsibility to decide whether to enter or to continue any race I voluntarily assume the risk of participation in this event and release the Dahlgren Yacht Club sponsors and anyone connected with or conducting this event from all liability in connection with any injury or damage that may occur.

Signature:
Date:

Mail the completed form to: Dahlgren Yacht Club, PO Box 90, Dahlgren, VA 22448

Contact for any information or questions: DYC Race Committee - Email to: racecom email