Name

Address

City State Zip

Cell Phone Number   Email

Member of Yacht Club

Boat Name    Hull Color    Sail Number   Spinnaker Color(s) 

PHRF/JAM Rating        PHRF/Spinnaker Rating 

Boat Design    Meas. Certification. Dated: Enclosed

CHECK IF:

PHRF - Spinnaker              PHRF - Non-Spinnaker (JAM)               Tartan-Ten One Design

Multihull                            Beachcat                                             Interlake  

For food planning purposes: no of crew & guests Saturday evening (Chicken)

I agree to be bound by The Racing Rules of Sailing.  “I understand that I am assuming the risk of any injury or damage I may sustain as a result

of participation in this race.  In consideration of my acceptance by the Port Clinton Yacht Club to enter the race, I agree to hold harmless the

Port Clinton Yacht Club, its members, agents and employees, and the Green Island Race Committee, from any and all liability for injury or damage

to my person or property, or the person or property of my crew, social guests, licenses or invitees that may accompany me onboard my watercraft,

resulting from my participation in this event.

Skipper’s Signature: _________________________________________               Dated ____________________________________   

By hitting "SUBMIT", you are hereby registered as an entrant in the Green Island Regatta