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The BCYA version of the
CBYRA STANDARD
ENTRY FORM		 BCYA BALTIMORE HARBOR
LEUKEMIA CUP
Saturday, October 24, 2009
CBYRA Sanction Number: 213
Sail No.
 Yacht Name
 CBYRA Member No.
 Yacht Club
 US Sailing Member No.
Class: PHRF A0 PHRF A1 PHRF A2 PHRF A3 PHRF B PHRF C/D
  PHRF N MULTIHULL

PLEASE NOTE: Class Splits shall be per 2009 Class Splits for PHRF of the Chesapeake, Inc.
See http://www.phrfchesbay.com/splits99.htm

CLASS
INFORMATION
 By checking the "I agree" button below, I certify that this yacht conforms in every way to Class Rules and Measurements. For PHRF, I have a valid current rating from PHRF of the Chesapeake and I have verified that the rating entered below is that displayed on that certificate and on the Valid List maintained by PHRF of the Chesapeake. For other classes, any applicable certification is on file with the Class Representative Host Club, or will be provided before the race date to the BCYA.
PLEASE NOTE: No race entry refund will be given to a boat with no valid rating certificate!
NAME: e-mail:
ADDRESS:
Home Phone: Other Phone:
Class: Rating:
Hull Color: Make & Model:
Estimated Number of Crew:
Race Entry Fee: US Sailing Association members: $35.00, others: $40.00. Entries received after the entry deadline of Wednesday, October 21, 2009, will be assessed an additional $20.00. By registering with this form, PAYMENT IS THROUGH PAYPAL. When pressing the PROCEED BUTTON below you will be taken to the secure PAYPAL site for credit card payment.
Your Race Fee:
   
Register here for the post-race Party at Slainte Irish Pub & Restaurant - Fells Point.
Skipper(s) $100.00 each Includes entrance to the Crew Party with food, beer and Mt. Gay drinks, Captain's Gift Bag, and eligibility for all fund raising prizes.
Crew $35.00 each Includes entrance to the Crew Party with food, beer and Mt. Gay drinks, and eligibility for all fund raising prizes.
  Your Party Fee:
  Your TOTAL FEE:
I agree to abide by (1) the Racing Rules of Sailing (RRS), (2) either the General Sailing Instructions published by the CBYRA OR event sailing instructions published by the host club, and (3) other rules that govern this event. In consideration of being permitted to enter this event, being knowledgeable of the risks of competitive sailing and knowing that it is solely my responsibility to decide whether to enter or continue any race, I voluntarily assume the risk of participating in this event and release the BCYA and the persons conducting this event from all liability in connection with any injury or damage that may occur.
I agree to the stated terms I do not agree