APRIL 21-23, 2006
Official
Entry Form
In consideration of the acceptance of my
application in this regatta:
I
hereby waive, release and discharge any and all claims for damages or death,
personal injury or property damage which I may have, or which may subsequently
accrue to me, as a result of my participation in this boat race. This release is intended to discharge the
organizing authorities, Cape Fear Yacht club (CFYC) and Wrightsville Beach
Ocean Racing Association (WBORA), sponsor, Bald Head Island Limited, Shoals
Club, promoting clubs WBORA, CFYC and Carolina Yacht club (CYC) officials, any
involved municipalities, other public entities, the UNITED STATES SAILING
ASSOCIATION (US SAILING) and all employees, volunteers, Juries, Race Committees
and sponsors of this regatta from and against any and all liability arising out
of or connected in any way with my participation in this regatta and social
events connected therewith, even though that liability may arise out of negligence
or carelessness on the part of the persons or entities mentioned above
I further understand that
serious accidents occasionally occur during boat racing, and that participants
in boat racing occasionally sustain mortal or serious personal injuries, and/or
property damages, as a consequence. I
knowingly assume the risks of sailboat racing and release and hold harmless all
of the persons or entities mentioned above who might otherwise be liable to me
or my heirs or assigns for damages.
I agree to abide by the
“rules” as defined in the Racing Rules of Sailing; the regulations and sailing
instructions issued for this event.
I
acknowledge that equipment regulations and inspection of vessels is for the
sole purpose of ensuring fair competition and does not serve as a certification
of safety and that it is my sole responsibility to maintain my boat in a
properly equipped, seaworthy and safe condition. I represent that my boat is thoroughly seaworthy and safe and all
equipment on board, including but not limited to safety and emergency
equipment, is properly stowed, in good working condition and is appropriate for
this regatta. I further represent that
I and any crew permitted aboard the boat are competent and experienced,
physically fit, and capable of swimming and treading water in full sailing
attire, and have been instructed in the use and location of all safety
equipment aboard the boat.
I
have read and understand the above waiver and the Notice of Race. I hereby warrant that my boat will be outfitted,
equipped and handled in accordance with these Conditions; that she will have
all the required equipment aboard; that she is seaworthy in hull, rig and gear;
and that she will be completely and competently manned. Each Skipper must evaluate weather and sea
conditions and his/her crew and I acknowledge that I am responsible for
determining whether it is safe for my boat to participate or continue to
participate in any race of this regatta.
I
am over 18 years old and agree to the terms of this release. I give permission for the free use of my
name, picture and voice in any broadcast, telecast or print media account of
this regatta in any medium.
CHOOSE ONE OF THE FOLLOWING: PHRF-S PHRF-NS ONE DESIGN:______________________
Boat Name: ________________________________________
Boat Make/LOA/Beam/Draft: ________________________
_________________
Sail Number: ___________ Rating: ________ Yacht Club: ______________________ Home Port: ____________________________________
Dockage Requested
(Marina/Dates):
_______________________________________________________________________________________
Skipper/Owner:__________________________________________________________Cell
Phone:
____________________________________
Address: _____________________________________________________________________________________________________________
On-Island Accommodation
Location
________________________________________________________________________________________
Email: ________________________________________________________________
Signature/Date: _________________________________
Entry Fees:
Registration includes 1 event pass, a competitors’ bag and a pro-rated number of Mount Gay Rum hats
based on payment date.
Event passes
include Friday registration party; Saturday hot/cold buffet breakfast; Saturday
surf ‘n’ turf buffet; Sunday breakfast & cookout.
Early
(April 1, 2006) $ 75 _____
Early Event Passes _______ x $35 _____
On
Time (April 14, 2006) $100 _____
On Time Passes ________x $45 _____
Late $150 _____
Late Passes ________ x $55 _____
Saturday Box Lunches _____ x $5 _____
TOTAL AMOUNT ENCLOSED ______
Please
mail with check payable to Bald Head Island Limited to: Bald
Head Island Regatta, POB 3069, Bald Head Island, NC 28461
Crew Name/Signature Address/Cell#
__________________________________ ___________________________________________________________________
__________________________________ ___________________________________________________________________
__________________________________ ___________________________________________________________________
__________________________________ ___________________________________________________________________
__________________________________ ___________________________________________________________________
__________________________________ ___________________________________________________________________
__________________________________ ___________________________________________________________________
DATE RECEIVED PAYMENT DOCKAGE #PASSES LUNCHES ACCOMMODATIONS CHECK-IN
______________ __________ _________ _________ ________ __________________ _________