2018 Region 3 Championship Registration Form(mail in)

Registration Form
2018 Seawind Region 3 Championship Regatta

September 8 th and 9 th

Lake Tomahawk, Black Mountain, North Carolina

Hosted by the:
Black Mountain Yacht Club #245

Skipper’s Name: ____________________________________________________________________

Address: __________________________________________________________________________

City: ___________________________________ State: ______________ Zip Code: ______________

Phone: ___________________________ Email ___________________________________________

AMYA #_______________ Sail Number: _______________ Channel # 1 __ #2 __ or 2.4 Ghz_______

# of guests______________

Entry Fee: The mail in entry fee is $35.00 for each boat registered and $15 per guest, payable by check or PayPal. Registrations must be received by August 27th. The Black Mountain Model Yacht Club will be purchasing food and drinks for participants. Please help us plan by registering as early as possible.

To pay by check, please make payable to: Brett Hopkins. Please send completed entry and check to:

Brett Hopkins

563 Betsy Ross Lane

Asheville, NC 28805
828.545.3854

 

By PayPal: bhopkinsavl@gmail.com

On-line registration is available at the AMYA.com web-site

In consideration of accepting this entry, I hereby for myself, my heirs, executors, and administrators waive and release any and all right to claim damages that I or my family may have or acquire against the Black Mountain Model Yacht Club or their membership, the sailing site, the sailing site managers, employees, agents, representatives or assigns, or the American Model Yachting Association, or its members for any and all injuries suffered by me or my family during the regatta and related events. I have read the Notice of Race and Sailing Instructions for the Regatta and accept its conditions and rules.

SIGNATURE____________________________________________ DATE______________

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