LJSC Racing

REGISTRATION FORM

YACHT INFORMATION:

Make: __________________ Length: _____________

Name: _________________ Hull Color: ____________

Sail # _________ Sail Color ______

Class: Cruiser _____ Daysail _____ Multi _____

Portsmouth Rating: ________

***********************************************

SKIPPER INFORMATION:

Name: ___________________________________________

Address: ____________________________________

City, St., Zip:__________________________________

Phone #: ____________________

E-Mail _______________________

************************************************

Disclaimer

I hearby agree to all the conditions established for this regatta by the Lake Juliette Sailing Club (LJSC). I warrant my yacht to be outfitted, equipped and handled in accordance with those conditions and that it be equipped in accordance with all the safety equipment as required by the State of Georgia. I warrant that my yacht is seaworthy in rig, hull and equipment and that it will be competently sailed and crewed. I do for myself, my executors or administrators, heirs and assigns waive any and all claims that may occur to me or them against L.J.S.C., its Race Committee, Officers, members, agents and any one or more of them arising out of the participation of my yacht in this Regatta or any of its related activities. I do further agree to and hereby indemnify the aforesaid organizations and persons from any claim, demands or judgment against them, including attorneys fees and expenses incurred in defense of such claims, etc. made or brought by guest or crew member of any yacht or their executors, administrators, heirs, next of kin or assigns arising out of my yachts participation in the regatta or any related activity. I realize that it is solely my decision as to my yacht starting and continuing in this regatta.

Signed __________________________________ Date ____________