Request Forms

2013 Wednesday Night Racing Registration Form

Register for the 2013 Wednesday Night Racing season by completing the form below. Please be sure to complete all of the fields. Note some are mandatory so the form cannot be submitted without these fields being completed.

To submit the form, you must agree to follow the Racing Rules of Sailing and to the Release of Liability.

When you click on Send, an email will be sent to the appropriate person.

DO NOT CLICK ON YOUR BROWSER'S BACK ARROW OR RELOAD THE PAGE WHILE FILLING OUT THE FORM - YOU WILL LOSE ANY INFORMATION YOU HAVE ENTERED.

SKIPPER'S INFO
Name:
Street Address:
City:
State:
Zip:
Email:
	Check this box to have an exact copy of the form results sent to the email address entered above
Phone Numbers (including area code):
Home:
Work:
Fax:
Yacht Info A 2013 PHRF certficate issued by PHRF-NB is required from all cruising class yachts...you can not participate without one. For an application contact PHRF-NB at phrf-nb.org.
Yacht Name:
Yacht Make:
Yacht Model:
Sail #:
Hull Color:
Payment
Register Me For:

Fee:

Payment:	EGYC Member - Bill me I will pay invoice via credit card
RELEASE OF LIABILITY In accordance with section 7-6-22 of the Rhode Island General Laws, entitled “EXEMPTION FROM LIABILITY TO PARTICIPANTS IN ATHLETIC SPORTS EVENTS”, I hereby release the East Greenwich Yacht Club (EGYC), it’s officers, directors, agents, trustees, servants, and employees of any liability for bodily injury to me and/or my crew while I am participating for any contest or exhibition of an athletic or sports nature sponsored by EGYC and hereby acknowledge and assume risk of any bodily injury to myself and/or my crew while participating in or practicing for any EGYC sponsored contest or exhibition. I agree to be bound by The Racing Rules of Sailing and by all other rules that govern this event.

I agree with the Release of Liability:	Yes No
Use the space below for any appropriate comments.
Comments:

Validation:	Generate new image Enter text from image in the field below. UPPER CASE text only.

East Greenwich Yacht Club PO Box 267, 10 Water Street, East Greenwich, RI 02818
Phone: 401-884-7700 Fax: 401-886-4353

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