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Name:*
Address:*
Home phone
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Business phone:
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Cell
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E-mail:
Co-applicant name
Co-applicant address
Co-applicant home phone:
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Co-applicant business phone
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Co-applicant cell phone
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Co-applicant e-mail
Boat name*
Model*
Color*
Length*
Sail number*
Class/manufacturer*
LMPHRF spinnaker handicap if known
LMPHRF distance handicap if known
Class handicap if known
Class OD configutation
I will be sailing*
Club affiliation? Check all which apply.*
I would be interested in racing one-design if enough boats entered.
Upload PDF of your PHRF handicap certificate
Upload PDF of your proof of insurance

Apply For a Handicap

This next form section is for racers who don't have a PHRF certificate. Please provide the following information so that we can assign a handicap. Assigned handicaps may not be disputed but can be overwritten with a current valid PHRF certificate submitted no less than seven days prior to the next event. Previous races will not be rescored.

Name of boat
LOA
Manufacturer
Year
Keel configuration
Mast configuration
Engine type
Describe any changes made to original configuration
Mainsail configuration
Genoa configuration
Spinnaker configuration
Largest percentage of genoa overlap

office use only phrf

Release and Waiver of Liability and Covenant Not to Sue

In consideration of being permitted to participate in the 2016 South Shore Yacht Club Sailing Events and sailing regattas (the "Events"), hosted by the South Shore Yacht Club. (the "SSYC”), and in consideration of the substantial volunteer effort made by volunteers with respect to the Events, I hereby:

1. Waive and release any and all claims, including claims for negligence or equivalent conduct (but not intentional conduct), which I may have against SSYC, and their respective members, trustees, directors, officers, employees, volunteers, measurers, judges, independent contractors, sponsors, designees, successors, assigns, insurers and affiliates (hereinafter collectively “releases”) resulting from my participating in the events and all activities related to the events. I understand that such negligence could include but is not limited to a failure to use reasonable care in deciding whether or not to start or continue a race and any other decisions arising out of race management; operating power boats, cranes, or other equipment; maintaining launch ramps, cranes, piers, docks, marks, buoys, and other property; in training or supervising employees or volunteers; in providing instructions or services; or in providing any first aid or emergency medical treatment.

2. Agree not to sue any of the releases for any damages, costs, losses, expenses, demands, claims or causes of action arising out of the events.

3. Acknowledge that serious accidents may occur during the Events and that I may sustain death, disability, serious personal injury, and/or property damage, and acknowledge my responsibilities in participating in the Events, for my decisions to start or continue to race in the Events and to ensure that my boat, equipment and crew are seaworthy for the conditions which may be encountered during my participation.

4. Agree that this Release and Waiver of Liability is intended to be as broad and inclusive as permitted by the laws of the State of Wisconsin and that in the event that any provision is held to be prohibited or invalid, the remainder of this Release and Waiver of Liability shall continue in full legal force and effect, and that this Release and Waiver of Liability supersedes all prior negotiations, representations or agreements between myself and any one or more of the releases. By signing below, I acknowledge that I have read this agreement, understand its terms, have had the opportunity to review, discuss and negotiate its terms and conditions and understand that by signing, I am giving up substantial rights. I agree to be bound by The Racing Rules of Sailing and by all other rules that govern this series.

I have read the foregoing entry, including its release provisions, and I accept its term and conditions. I understand that checking "yes" in this form constitutes my irrevocable, legally binding signature. I hereby waive all claims as described in the Release of Waiver and Covenant Not to Sue.*
I will be paying*

attention iconImportant!

Your entry will be held until you provide:

 Proof of insurance for at least $300,000 and specifically including racing as a covered use of the boat
• Full payment of entry fee

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