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APPLICATION
FORM
ILCA
2001 NORTH AMERICAN CHAMPIONSHIPS
To be completed and sent by July 21, 2001 to:
International Lightning Class
Association
P.O. Box 10747
Murfreesboro, TN 37129 USA
phone 615-89-FLASH (615-893-5274)
fax 615/893-5205
email office@lightningclass.org
Skipper _________________________________
BOAT NO. __________
Address __________________________________________________
ILCA
Member No.
USSA Member No. __________
Yacht
No.
Yacht Name
Hull
Color
Spinnaker Color
Fleet
No.
Fleet Name
District Name __________
Crew _________________________
ILCA Member No.
*
Address__________________________________________________
Crew
_________________________ ILCA
Member No.
*
Address _______________________________________________________________
FEES:
All $ US. Entry fee, if received by July 20, 2001:
$225 for US SAILING members or non-US citizens, $245.00 for US
citizens who are not US SAILING members.
If entry fee is post-marked after July 21, 2001
$240 for US SAILING members and non-US citizens, $260.00 for US
citizens who are not US SAILING members.
Entry
fee enclosed
_________________
Crew Membership Dues Enclosed
__________________
*$18.00 each, if not an ILCA Member
US
Sailing Fee (if applicable)
Total
number of persons in party
I agree to abide by the
regulations and sailing instructions for this event. In consideration of
the acceptance of this application for entry in the ILCA 2001 North
American Championships, being knowledgeable of the risks of competitive
sailing and knowing that it is my sole responsibility to decide whether
to enter or continue any race, I voluntarily assume the risk of
participation in this event and release the ILCA, Malletts Bay Boat
Club, Lightning Fleet 301 and/or the regatta Race Committee (including
their officers, employees and affiliated volunteers) from all liability
in connection with any injuries or damages suffered by participants
and/or visitors, or their boats or equipment arising from any act, or
omission either negligent or otherwise by any person or entity. (Advise
your insurance agent of this release of responsibility.)
Signature
of skipper
Date
of arrival
(All
skippers must be on hand no later than Saturday, August
11, 2001, 12:00 noon)
NOTE: YOU MUST HAVE THE MEASUREMENT CERTIFICATE FOR THE
BOAT YOU PLAN
TO SAIL.
OVAL
MASTS MUST HAVE AN APPROVED
CERTIFICATION OR A SERIAL-NUMBERED DECAL.
This
entrant is certified to be a qualified entry of the above named
District.
The skipper named
is an Active Member in good standing.
This entrant participated in the District Championship races this season in
boat number __________
and finished __________.
District
Commodore Signature
Print Name __________________________
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