Hyannis Yacht Club

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2012 Non Member One Design Registration

First Name:

Last Name:

Address 1:

Address 2:

City:

State:

Zip Code:

Telephone #:

Email Address:

Date Of Birth (opti sailors only):

Are you under the age of 18:

Yes No

If yes, parent/guardian must initial:

US Sailing Membership #:

Boat Class & Pricing:

Total Amount Of Registration Fee:

Please Charge My:

Amex Visa Master Charge

Credit Card Number:

Expiration Date:

WAIVER: I do for myself, my executors, heirs and assigns, waive any and all claims as may accrue to me or them against the Hyannis Yacht Club, its officers, trustees, members, employees and agents arising from my participation in any race at the Hyannis Yacht Club or any related activities. I hereby warrant that my boat will have all the required safety equipment on board, that it will be seaworthy in hull, rig, and gear, and that it will be competently manned.

Initial of competitor or parent/guardian required:

Date:

Note: Registration and racing fee MUST be received before a boat will be scored.

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Hyannis Yacht Club
490 Ocean Street
Hyannis, MA 02601
508.778.6100

info@hyannisyachtclub.org