Fleet 413, Newport's Laser Fleet - Frostbite Series Registration

Entry Form - Newport Frostbite Series

*=Required Field
*First Name :**	*Last Name :**
*Sail Number :**	*Hull Serial Number :**
*Address :**
Apartment# or other info:
*City :**	*State : Zip* :**
*Email Address:**

Home Phone:	Cell Phone:
*Date of birth (mm/dd/yyyy):**	*Age:**

*Emergency Contact Name:**
*Emergency Contact Phone:**
*Emergency Contact Relationship:**
*Will you store your boat at Sail Newport :**	Yes - or No-

Amount Paid :	Date:	PayPal: Check: Cash:	Check#:
Sign up for Race Committee Duty:	Date:	RC-Level

Release

In consideration of the foregoing, I hereby release the Sponsors and Race Committee and the volunteers from any and all claims which I may have now or hereafter may arise from injury or loss resulting from my participation in the races in this series, or in any other series or race hereafter organized or conducted by them or any of them. I acknowledge that sailing is inherently dangerous. I further acknowledge that the decision as to whether to sail or to continue sailing rests solely and exclusively with me.

______________________________________	______________________________________
Signature	Date

Once you've filled out this form please print it using your browser's print function so you are able to sign it and submit it with payment. Then please click the submit this form button to send the information to Newport Laser Fleet. Upon successful submission of this form you will see a page with the information you have submitted so you can print it for your records.

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