INDIAN POINT YACHT CLUB

Martins River Mahem Fiasco Fiesta Boat Race Registration

Martins River Mahem Fiasco Fiesta Boat Race Registration

Skipper Name:*
Skipper E-mail:*
Yacht Name:*
Yacht Make / Model:*
Sail Number:
Length Overall (LOA):*
PHRF:*
NSYA PHRF Rating (if available):
Skipper Address:*
Skipper Phone:*
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Owner Name (if different from Skipper):
Owner Address (if different than Skipper):

By submitting this entry I agree to save harmless and keep idemnified to Indian Point Yacht Club, their organizers, officers and representatives from and against all claims, actions, costs, expenses and demandsin respect to death, injury, loss or damage to my person or my crew or property arising out of my participation in this event. I confirm that my boat carries all required safety equipment as specified by Transport Canada for a boat of it's size and use.