Cruising Club of Virginia
2017 RACE ENTRY and MEMBERSHIP APPLICATION
Please fill in all available information. If you are applying as a Racing Member, this is also your entry form for all CCV races except Sunday racing in the Southern Bay Race Week. For Distance Series Members, this is your entry for Spring Series #3, Founders, Moonlight Triangle and Fall Series #3. Club members must submit individual entry forms and entry fees for any race/series entered. Race and Distance Series members must resubmit a new entry form anytime their PHRF rating changes.
MEMBERSHIP APPLICATIONAPPLICANT INFORMATION
Name: (Please highlight any information you do NOT want included in the Racing Guide)
Mate’s Name: / Home Phone / Cell Phone
Street address:
City: / State: / Zip code:
Email Address: / USSA Member # / CBYRA Member #
RACING INFORMATION
Racing Class: / Spinnaker A_ B_ C_ / Non-spinnaker ___ / CRUISING ___
Boat Name: / Make: / Sail #:
On this boat I am: please circle one Crew Owner
Membership Type: please circle / RACING / DISTANCE SERIES / CLUB/CREW
DUES
Racing $150 (US Sailing members) $170 (Non-US Sailing members)
(Racing membership price includes two discount admissions to the CCV Awards Party!) / Amount:
Distance Series $80 (US Sailing members) $95 (Non-US Sailing members)
(Distance Series membership price includes two discount admissions to the CCV Awards Party!) / Amount:
Club/Crew$40 / Amount:
Additional CCV Awards Party tickets ($35 each with this application thru Sep 4th, $45 each from Sep 4th to Day before event, $55 at door) ____x$45 / Amount:
Optional charge:CCV Racing Guide delivered to your address $10 / Amount:
Please make your check payable to CCV, sign the form, and mail to:
Cruising Club of Virginia
PO BOX 3409
Hampton, VA 23663 / Total:
I agree to abide by the Racing Rules of Sailing (RRS), the General Sailing Instructions published by CCV, the CCV Race Instructions, and event sailing instructions published by CCV and other rules that govern this event. In consideration of being permitted to enter these events, 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 these events and release CCV and the people conducting the event from any and all liability in connection with any injury or damage that may occur. By my dated signature below I hereby waive, release, and cancel any and all claims I may have against CCV, its officers, directors, trustees, and committee members, agents, and representatives arising out of CCV relating to any CCV functions and activities. I further acknowledge that participation in the sport of sailing wind driven boats in competitive events is an inherently dangerous sport in which I have chosen to engage.
SIGNATURE OF COMPETITOR______DATE______
Payment must be received NLT 15 FEBRUARY to be included in the CCV Racing Guide Directory.