Sail Parry Sound Regatta Registration

Big Sound Challenge, (Laser, 420, CL-16, Wayfarer classes)

incorporating 2016 Wayfarer Ontario Championship

Please use Word to fill out RIGHT column.

Email: to deadline

Class:

Sail Number:

Skipper’s Name:
Crew’s Name:

Skipper Address:

City:

Postal Code:

Telephone:
Email:
Age: DD/MO/ YR
Crew Address:
City:
Postal Code:

Telephone:

Email:

Age: DD/MO/ YR

Club you represent

(full name please):

Youth 18 & Under / [ ] MARK X in box which applies
Female / [ ]
Master (Age 45 +) / [ ]
Open / [ ]
T-shirt size (1 per person) S to XXL /

[ ] and [ ]

Meal orders attached
(1 order form per person) / Your Saturday supper is included in the Registration fee. Lunch may be purchased using the same form.

All data collected on each participant must be shared with Ontario Sailing.

(Ontario Sailing’s normal Privacy Policy rules apply: data are shared only with Sail Canada).

Entry Fee: $ 50 per person, paid before June 30, OR $ 60 per person, after June 30

by PayPal to

OR cheque to Sail Parry Sound, Box 734, Parry Sound, ON P2A 2Z1

Amount Paid: ______Payment Type: ______

Continued/

Waiver

may be signed on arrival at Sail Parry Sound

Class:

Sail Number:

Skipper’s Name:
Crew’s Name:

Sailors age 17 & Under must have this form signed by a parent or guardian.

I have read the rules and regulations issued for this event and agree to be bound by them. In consideration of acceptance of this entry or my being permitted to take part in this event, I agree to save harmless and keep indemnified the Ontario Sailing Association, its organizers and their respective agents, officials, servants and representatives and Sail Parry Sound its organizers and their respective agents, officials, servants and representatives, from and against all claims, actions, costs, expenses and demands with respect to death, injury, loss or damage to my person or property, howsoever caused, arising out of or in connection with my taking part in this event, notwithstanding that the same may have been contributed to, or caused, or accompanied by the negligence of the same bodies, or any of them, their agents, officials, servants or representatives. I further understand and agree that the release is binding upon my heirs, my executors, assigns, and myself.

There will be photographers at this event. This is my full and final release for publication of event photos in which I may be shown, in any media or online.

Signature of Skipper: ______Date: ______

Signature of Crew: ______Date: ______

Signature of Guardian if sailor is age 17 or under:

______Date: ______

Signature of Guardian if sailor is age 17 or under:

______Date: ______