Release of Liability and Entry Form
Yacht Name: _____________________________ Sail Number: _____________________
Yacht Type: ____________ Yacht Make: _____________ Yacht Model: _____________
Overall Length: __________ Draft: __________
PHRF Rating: ____________MASF Rating __________ CSC Assigned Rating _________
Racing Class: PHRF___________ JAM ________ Multihull ________
Skipper Name: _______________________ Owners Name if different_________________________
City: ____________________________ State ______ ZIP code: ___________________
Telephone (day) _________________ (night): _________________ Cell: _______________
E-mail: _______________________________________This is very important
I hereby certify that no changes affecting the above named yacht’s rating certificate have been or will be made after the date of the certificate enclosed herewith.
I hereby agree to all sailing instructions for this race which I have read and understood.
We further acknowledge and agree that neither the organizing authority, nor the race committee, nor their members, will be responsible for (a) any damage to the entered yacht or my other property, or (b) any injury to myself or my crew, including death, sustained as a result of the participation of myself, my crew, and the yacht in this event. I hereby waive any rights I may have to sue the race organizers (organizing authority, race committee, protest committee, host club, sponsors, or any other organization or official) with respect to personal injury or property damage suffered by myself or my crew as a result of our participation in this event, including any claims arising as a result of the negligence of the race organizers, and hereby release the race organizers from any liability for such injury or damage to the fullest extent permitted by law. I have taken all necessary steps to ensure that myself, my crew, and the entered yacht are adequately prepared for all possible contingencies, including appropriate safety equipment as may be required by law or that a prudent seaman would consider advisable.
I grant Castaways Sailing, Inc. or its agent the unconditional and perpetual right to publish and broadcast the names and images of the skipper, crew and yacht prior to, during and after any of the races in these series.
Which TWO months will you not be available to perform the duties of RACE COMMITTEE. Please read NOR paragraph Race Committee Participation. Reimbursement for race committee boat fuel is now $50.00.
Month 1 ________________ Month 2 _________________
Signed: ___________________________________ Date: ________________________
Signed: ___________________________________ Date: _______________________
Owner (if different from the skipper)