Registration Form - Labor Day Regatta and Pig Roast Dinner 2019
First Name *
Your answer
Last Name *
Your answer
Racing and/or Social ? *
The Racing Fees are listed below and the Social is Free to attended. Dinner Cost apply for Racing and Social
Required
Cash, Check or Bill my Account *
Required
Email Address *
Type your most current email address
Your answer
ASC Member Number
Input your member number. This can be found on your bill or the ASC Phonebook
Your answer
Sailboat Type
Type one of the following Opti, JY15, Sunfish,Laser, C420 MC-Scow, E-Scow, c Scow, Lightning. PHRF Spin, Non Spim, etc.
Your answer
Sail #
Type your Sail Number (if not known; put UNKNOWN)
Your answer
Racing Base FEE ( $15 ) Junior Skipper < 18 ($ 8 ) --------------------------------------------------
US Sailing Discount ( deduct $5 )
Input your US Sailing Number and present your current card at the registration desk to be eligible
Your answer
MEALS ---------------------------------------------------------------------------
Adult Dinner ( $15 per )
Input the number of dinners you wish to purchase
Your answer
Child Dinner 13 and under ( $8 per )
Input the number of child dinners you wish to purchase
Your answer
Waiver and Release of Liabiltiy
Waiver and Release of Liability:
In consideration of being allowed to participate in the Augusta Sailing Club Racing Program and related events and activities, I acknowledge and agree that:

1. By virtue of my participation I risk bodily injury, including, but not limited to, paralysis, dismemberment, death, and other loss, including damage to property.

2. I acknowledge and freely assume all risk.

3. I release, hold harmless, and promise not to sue, the Augusta Sailing Club, its officers, and sponsors, as well as organizers and sponsors of any ASC sanctioned event, with respect to any or all such injury, paralysis, dismemberment, death, and other loss, including damage to property, except that such injury or loss which results from gross negligence, or willful or wanton misconduct of one of these individuals or organizations.

4. As a participant of this event, I assume the responsibility to repair any boat that I may damage. The decisions of the Augusta Sailing Club Protest Committee in accordance with US Sailing will be final. Each boat is required to carry liability insurance in order to participate.

I agree with Release
Sign Date


At desk

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