Boat#

69th Catalina Water Ski Race Saturday, Aug.12, 2017
hosted by the Long Beach Boat & Ski Club

Race Entry Form: teams must complete 2 page entry form.

Entry Fee $400USD if Post Marked by Saturday, Aug. 5th2017

Mandatory Cell Phone # (in the boat) / Make of your Boat
Boat # / Boat State Registration #
Or Coast Guard Doc. #
Length of your Boat: / Boat Colors:
Boat Name:
Classes: Circle ONE
SUPERCLASS
Men’s Open (any age) / Intermediate Men (16-24)
Intermediate Women (16-30) / Expert Men (45-59)
Masters (age 60 & over) / Double-Up
Mixed Doubles
Women’s Open (any age) / Senior Men (25-35) / Formula II Outboard / Open Jet
Junior Boys (15 & under) / Senior Women (31-59) / Open Day Cruiser / Over & Back
Junior Girls (15 & under) / Veteran Men (36-44) / Novice / Sportsman

(Each skier’s age is determined by their AGE as of 11:59 pm on December31 of the previous year.)

“WORLD TEAM RULES”: 2017 World Teams. F1 Skiers may compete in SUPERCLASS, OPEN or their age class only.

F2 and Juniors may compete in any class except NOVICE, SPORTSMAN or OVER & BACK. It is the team’s responsibility to report this.

NOVICE: To qualify as a NOVICE the skier shall not have received points in a sanctioned marathon/circle race in any class other than Novice, Social, Pro Social or the equivalent entry level class in your region or skied the Catalina Ski Race in any class other than Novice. If you have evercompleted the Catalina Ski Race in under 1hr 30min, you may NOT enter the Novice class.

Over & Back: Each skier is to ski half way. MAXIMUM FOUR (4) Team members; each team member must be eligible and qualified to participate in desired positions and wear standard safety equipment. World team members excluded.

Complete class descriptions and race rules are available on the internet at

Skier name: / Birthday: / Age:
Cell Phone: / Email:
2nd Skier name: / Birthday: / Age:
Cell Phone: / Email:

Drivers: Reminder: a current DOT or equivalent Physical is required; the 8 page form available on California DMV Website

Driver name: / Birthday: / Age:
Cell Phone: / Email:

Observers: Send a photocopy of your CPR Card in with your entry!! Save time later!!

Observer name: / Birthday: / Age:
Cell Phone: / Email:

Select ONE: Throttles OR Navigator (Reminder: Throttles requires current DOT or equivalent Physical)

Name: / Birthday: / Age:
Cell Phone: / Email:
EMERGENCY Contact Name:
Cell phone : (Someone on Land on Race Day)

Please direct any questions to our Registration Chairman: John Stewart, e-mail: Phone: {714}-892-1607

69th Catalina Water Ski Race
Saturday, Aug.12, 2017hosted bythe Long Beach Boat & Ski Club

Entry Fee $400USD if Post Marked by Saturday, Aug 5th, 2017

Explanation of fees: All fees to be paid in U.S. Currency Only. International skiers do not pay a late fee.
A team is defined as one skier, one driver, one observer, and either one navigator or one throttles person.
Having fewer members is your option. The entry fee is $400.00 either way.
Entry fee if POST MARKED by Aug. 5th, 2017 / $400.00per team / $
Mixed Doubles or Double Up Class 2nd Skier $50.00 Additional / $
Post Marked After Aug. 5th, 2017 –delivered in person at the race after 2PM $ 150.00: LATE FEE: $50.00/$150.00 after 2PM Aug.11th, 2017 / $
Change Fee and Incomplete Forms $25.00 / $
**Donate to: Catalina Ski Race Special Needs Children’s Foundation.Help support Kid’s Day 2017** / $
Make Check payable to: Long Beach Boat & Ski Club/TOTAL: / $
Credit Cards are also Accepted: VISA / Master Card: # EXP DATE:
Name as it appears on YOUR Credit Card: CVV:
Billing Address:
City, State, & Zip code:
Card Holder’s Phone Number:
Credit Card Holder’s Signature:
The Long Beach Boat & Ski Club has obtained event insurance for the race.
The policy includes NO Medical Benefits.
Please direct any questions to our Registration Chairman: John Stewart, e-mail: Phone: {714}-892-1607

Mailcompleted 2-page entry forms, drivers & throttles physicals, copies of CPR cards and Checks to :
Catalina Ski Race

P.O. Box 5246 Garden Grove, CA 92846-5246

INCOMPLETE ENTRY FORMS WILL BE RETURNED TO YOU!!

The Long Beach Boat & Ski Club reserves the right to refuse any application for entry.

Your race entry fee includes an event T-shirt: please indicate preferred t-shirt sizes for each team member below:

Skier: / Driver: / Observer: / Nav/Thr: / 2nd Skier:

WE ALWAYS CAN USE ADDITIONAL PATROL BOATS!!

IF YOU KNOW ANYONE WHO WOULD LIKE TO

VOLUNTEER TO HELP OUT:

CALL: JOHNLUNTZAT (562)-944-0485 or DOUGUREWICZAT (562)-597-4185

COAST GUARD * EMERGENCY * PHONE NUMBER (800)-221-8724

Class Sponsorships are still available: e-mail Jim: or Heidi: