Fowl Run Registration – INDIAN POINT YACHT CLUB

Fowl Run Registration October 8, 2022

Skipper Name:*

First

Last

Skipper E-mail:*

Yacht Name:*

Yacht Make / Model:*

Sail Number:

Length Overall (LOA):*

PHRF:*

NSYA PHRF Rating (if available):

Skipper Address:*

Street AddressCityProvince / StatePostal / Zip CodeCountry

Skipper Phone:*

Area Code

Phone Number

Owner Name (if different from Skipper):

First

Last

Owner Address (if different than Skipper):

Street AddressCityProvince / StatePostal / Zip CodeCountry

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. I confirm that I and my crew will follow the COVID 19 gathering restrictions for the Province of Nova Scotia.

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