2004 CANADIAN CHAMPIONSHIPS

June 4th, 5th  & 6th

Hudson Yacht Club 

Entry Form

 

SKIPPER:

 

 

SAIL NUMBER:

 

 

 

 

 

 

ADDRESS:

 

 

BOAT NAME:

 

 

 

 

 

 

CITY:

 

 

WORK PHONE:

 

 

 

 

 

 

PROV:/STATE

 

 

HOME PHONE:

 

 

 

 

 

 

POSTAL CODE:

 

 

CELL PHONE:

 

 

 

 

 

 

 

 

 

EMAIL:

 

 

 

 

 

 

CREW:

1

 

3

 

 

 

 

 

 

                                   2____________________________

 

 

No entry will be considered complete until all eligibility requirements are met and the waiver is signed by all competitors and returned to Hudson Yacht Club with the entry fee.

        

       Entry Fee  $125.00 Cdn

       Entry Fee received after May 28th 2004   $175.00 Cdn.

       Please make cheques payable to Hudson Yacht Club and mail to  Box 130, Hudson Que. J0P 1H0

       For more info contact HYC at info@hudsonyachtclub.com    or

       Allan Gray at bethunegray@sympatico.ca or 613 347 7553

 

 

I agree to be bound by The Racing Rules of Sailing 2001-2004 and all other rules that govern the International Etchells Canadian Championship Regatta.  Furthermore, as a condition precedent to my participation in this regatta (including without limitation all activities relating thereto), my crew and I waive any and all claims including without limitation any claim in respect of assistance given or not given against Hudson Yacht Club  and the directors, officers, members, guests and employees of the club for any injury or damage resulting from such participation.

 

 

Skipper’s Signature:

 

 

 

 

Date:

 

 

Crew’s Signature:

 

1.

 

 

 

 

 

Crew’s Signature:

 

2.

 

 

 

 

 

Crew’s Signature:

 

3.

 

 

 

 

_________________________

 

 

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For Use by HYC:

 

Approved By:

 

Cheque:

Date:

 

Cash: