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Race Entry Form
 

ALL Boats Complete This Section
Name of Race: Date:
Boat Name: Sail #:
Skipper: Souls on Board:
EMail:
Class:
Type of Boat:
PHRF Boats Section
Boat Make/Model: PHRF Rating:
Rating Certificate #: USSA Member #:
Portsmouth Boats Section
Boat Make/Model: DPN Rating:
Other Make/Model:
Modifiers to Rating
USSA Code Description DPN

I understand that I am solely responsible for my yacht and crew. I agree to comply with instructions given or signaled by the Race Committee. I have read the sailing instructions and understand my responsibilities under Coast Guard regulations.

1. My crew and I recognize that sailing is an activity that has an inherent risk of damage and injury associated with it. We have read RRS 4, Decision to Race and hereby acknowledge and agree that we are participating in this event entirely at our own risk.
 2. I acknowledge and agree that neither the organizing authority nor the race committee, nor their members, will be responsible for
     (a) any damage to the entered boat or my other property,
  or (b) any injury to myself or my crew, including death, sustained as a result of the participation of myself, my crew and the boat in this event.
 3. I hereby waive any rights I may have to sue the race organizers (organizing authority, race committee, protest committee, host club, sponsors, or any other organization or official) with respect to personal injury or property damage suffered by myself or my crew as a result of our participation in this event and hereby release the race organizers from any liability for such injury or damage to the fullest extent permitted by law.
 4. I have taken all necessary steps to ensure that myself, my crew and the entered boat are adequately prepared for all possible contingencies, including appropriate safety equipment as may be required by law or that a prudent seaman would consider advisable.
 5. I understand this document has important legal consequences and have consulted such legal and other advisors as I deem appropriate before signing.
 6. I have read, understand, and will comply with the Notice of Race and Sailing Instructions for this race.

Signature Skipper/Yacht Owner:
 
Make checks payable to: PBYC, PO Box 1112, Gulf Breeze, FL 32562-1112

You can provide feedback on this website by submitting email to the webmaster or the commodore. You can mail directly to the Yacht Club at: Pensacola Beach Yacht Club, PO Box 1112, Gulf Breeze, FL 32562 - 1112. Phone (850) 934-8757.