|Corinthian Yacht Club
2006 Midwinter Regatta Entry Form
Second Half: Februrary 18-19
_____________________________ Sail Number:
Name: ____________________________________ PHRF Rating:
(Yachts without '05 or '06 PHRF rating may be assigned a rating at the discretion of the committee)
Maximum Jib Size: _________%LP Roller Furler? ____
Type (e.g. J105):
Preferred Class: Spinnaker( ) Non-Spinnaker ( ) Non-Spinnaker "Cruiser" if there is one ( )
One Design Classes: SF30( ) IOR( ) E37( ) J120( ) J105( ) Catalina 34( ) 1D35( ) AE28( ) Other: __________________
Day Phone: ______________________ Eve Phone: __________________________
E-mail Address: ___________________________@__________.________
We won't give your address to anybody else except maybe another racer with a protest or issue.
( )Check if you do not want to receive periodic updates from us.
Entry fee is $30 .
Form of Payment: Check (# ) CYC Account# (__________)
PayPal/Credit Card ( ) (click on the web link below and follow the instructions)
Release: I, the undersigned, certify that I have read and understand the published racing rules, and I agree to abide by them. I am entering this race and hold the Corinthian Yacht Club, its Officers, its Directors, and all concerned committees harmless and free of liability of any nature whatsoever for accident or injury to myself, crew or my yacht. I certify that I will maintain marine liability insurance throughout my participation in the regatta. I also certify that I will have personal flotation devices (PFDs) and other required safety equipment for everyone on my boat and will take responsibility for their proper use. Unless I have checked the box above, I consent to receive e-mail updates from CYC.
Signature: ______________________________________________________________ Date: ___________
or fax with payment and 2005 or 2006 PHRF Cert to:
Corinthian Yacht Club, Attn: Midwinters; 43 Main Street, Tiburon, CA 94920
Questions: CYC at 435-4771 or CYCRace@cyc.org
Fax : 435-5101