Entry:
W.D. SCHOCK
MEMORIAL REGATTA
Entry
Form
Boat
Name________________________
Sail Number________________
Class___________________
Owner/Skipper__________________________________________
Yacht Club___________________________
Address________________________________________________
Hm Phone___________________________
City__________________________
St________ Zip____________
Bus Phone___________________________
e-mail__________________________________________________
Fax Phone___________________________
PLEASE
INDICATE:
¨
Number of crew/guests (for organizational purposes
only)__________
¨
I need guest yard storage:
From __________To __________
¨
I need guest mooring/rafting
From
__________To __________
¨
EXTRA Saturday Regatta Party Tickets _____x $15.00 =
$__________
NOTE:
THERE ARE PARTY TICKETS INCLUDED IN YOUR ENTRY FEE
DEPENDING ON THE SIZE OF YOUR BOAT. SEE THE ‘SOCIAL AND MEALS’
PARAGRAPH FOR DETAILS.
¨
Lunches at $6.00/ea (PRE-ORDER BY FEB.26th)
– Please indicate numbers below
Sat:
Roast Beef _____ Turkey _____Veggie _____
Sun:
Roast Beef _____ Turkey _____Veggie _____
Total # of Lunches
_____ x $6.00 =
$__________
ENTRY FEE
$50
– L12, L14, H20
_______
$100 – S 30/30
_______
$75
– S20
_______
$125 – S35, S40
_______
Late
fee(After February 22nd):
______$20
ENTRY
FEE DUE
=
$__________
PAYMENT: Total
Amount Due:
$__________
+ $__________ + $__________ +
$_________________ =
$____________
Entry fee
Lunches
Late Fee (if any) Regatta Party
Tickets
Total
Check
# ___________________
(Checks payable to NHYC)
ð
Charge To:
MC
VISA
Card Number: ___________________________ Expiration
Date: _____________________
Card Holder Name:
______________________ Signature:
___________________________
NHYC
#___________________Signature:_______________________________
Date_________
I
agree to comply with all rules and regulations of Newport
Harbor Yacht Club (NHYC), US SAILING, and other rules under
which this race or series is sailed. I hereby release NHYC,
its Officers, Directors and Committeemen from any and all
liability for any injury to myself, my crew, or damage to my
yacht arising out of their conduct of these races, or the use
of NHYC facilities, to the extent that such release does not
discharge my insurance carrier under the provisions of the
insurance policies on my yacht. I assume any risk of
injury or property damage arising out of my participation in
the regatta, failure or breakage of my yacht or any of its
equipment, or weather conditions.
I
certify that all members of my crew, including myself, are
able to swim. If
my yacht is moored/stored at NHYC before, during and/or after
the series, I understand that NHYC may move that yacht, or
adjust and/or modify the mooring, and the Club is hereby
released from and shall incur no liability as a result of such
action. I further
agree not to sail in hazardous conflict with commercial
shipping.
Signature_________________________________________________
Date__________________________________
Return Entry Before Feb 22, 2003
W.D.
SCHOCK MEMORIAL REGATTA
NHYC - 720
West Bay Avenue - Balboa - CA 92661 - (949) 673-7730 -(949)
673-3972 (fax) www.nhyc.org
| 
