C&C Owners Regatta Registration Form

Owner's Name: __________________________________________
Address: _______________________________________________
City, Prov/State: _________________________________________
Postal Code/ZIP: _____________________
Yacht Club: ______________________________________________
Phone: home: ____________________
Bus: ___________________ Fax: __________________________
email: ______________________________________

Yacht Name: _______________ Model: ________________ Year: ______________ Sail #: _____________

PHRF Rating: _________________________ Please submit copy of certificate (for overall prize).

Or if you do not have a certificate, we'll assign a rating for you. Please fill in the information below:

Biggest Head Sail: _______ (% or 1,2, 3) Engine: Inboard _______ (or) Outboard __________
Prop: Fixed __________ (or) Folding ___________

Activity (select one)
Race: Spinnaker _________ White Sail ____________ Cruising Program _____________________
                                                                                                ***Special Cruising Program in 2001***

Registrar : Karen Beaton, phone 416-952-6126, or email kbeaton@clc.ca

Entry Fee (per boat) : $60 before June 1st…….$80 thereafter                Amount = ___________________

Make cheques payable to:                                                                 VISA _____ Mastercard _______
C&C Owners Regatta
Mail to:                                                                                             Cardholder Name: _______________________
     National Yacht Club
    1 Stadium Road                                                                            Number: ______________________________
    Toronto, M5V 3H4
Or fax to:                                                                                           Expiry: ____________________________
    National Yacht Club
                                                                                                         Signature:__________________________

I/We agree to comply with the rules, regulations, and specifications as outlined in the notice of race, the sailing instructions, and any amendments thereof. I/We agree that neither myself/ourselves nor my/our crew shall in any way whatsoever hold The National Yacht Club, the sponsors, as a whole or in part or its members or officers to be in any way liable for any accident to my/our yacht, or personally to me/us or my/our crew for any accident or loss of life.

Signature of Owners(s): ___________________________________ Date: ___________________________