EFG Winter Cup 2015 Registration Survey

Online Registration Form

1.Skipper information:

First Name:

Last Name:

Address:

Address 2:

City/Town:

State:

ZIP:

Country:

Email Address:

Phone Number:

2.Boat information:

Sail number:

Boat name:

Home club(s):

3.Where do you plan on storing your boat and trailer in Miami for the Winter Cup?

US Sailing Center (Recommended)

Shake-A-Leg

Other (please specify)

4.Crew 1 information:

First name:

Last name:

E-mail:

5.Crew 2 information:

First name:

Last name:

E-mail:

6.Crew 3 information (if applicable):

First name:

Last name:

E-mail:

7.WAIVER By clicking ACCEPT below, the skipper electronically signs waiver.

As a condition of participation:

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 Rule 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 will be responsible for: i. any damage to the entered boat or my other property, or ii. any injury to my crew or me, including death, sustained as a result of our participation in this event.

3) I hereby waive any rights I may have to sue the race organizers (Organizing Authority, Committees, Host Club, Sponsors or any other organization or official) with respect to personal injury or property damage suffered by my crew or me as a result of our participation in this event, whether on the water or on shore, and I 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 my crew and I and my 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 will inform all crew members of their need to digitally sign this waiver, too, and have them go to the following address to execute that agreement: https://www.surveymonkey.com/s/Winter_Cup_Crew_Waiver

I agree to be bound by all rules that govern this event. (Required.)

I agree with and digitally sign/accept this waiver

I do not agree to this waiver

PAY ENTRY FEE HERE

$35.00 if entry form is received electronically prior to 1600 on February 26, 2015, $55.00 if received after such time. Entry fees can be paid via PayPal: click here

Thanks for registering and contact me directly if you have any questions:

Buttons

Ed "Buttons" Padin
Viper 640 Class Administrator
epadin@padesta.com
914-834-8286