ENTRY FORM

2009 J/30 Class

NORTH AMERICAN CHAMPIONSHIP

Organized by

Cedar Point Yacht Club, District Four – Long Island Sound & The J/30 Class Association

Westport, Connecticut - October 1, 2, 3 & 4, 2009

Skipper	Boat Name	Sail#
Address	Phone	Hull#
City	State, Zip	Topside Color
Email	Club	All-Amateur?

T-shirts (7)	Small	Medium	Large	XL	XXL

Entry Fee	Paid by September 17th	$500
Late Payment	After September 17th	$575
Extra social pkgs	$45 each	0
TOTAL$	0

SAVE this completed form on your computer, then EMAIL it to J30NA09@aol.com

Or, PRINT this completed form and MAIL it (with or without your check payable to “J/30 Class”) to:

Halsey Bullen, 5 Nappa Drive, Westport, CT 06880

Payment may also be made via Paypal on regatta website www.j30.us/na2009

______________________________________________________________________________________

WAIVER AND RELEASE - In consideration of the acceptance of this entry, I hereby agree that the safety of my boat and her crew, including the decision whether or not to wear life jackets, and the decision whether or not to start or continue to race, is my responsibility and not that of any person sponsoring or undertaking such race. I hereby forever and irrevocably waive, release and discharge any and all claims, liability, loss, or damages, including but not limited to claims for property damage, personal injury or death, which I may have or in the future acquire against Cedar Point Yacht Club, its officers, governors, members, employees, volunteers or agents, arising out of or in any way connected with my participation in any race or other activity sponsored or undertaken by any of them, even though such liability may arise out of their negligence or carelessness. I understand that serious accidents occasionally occur during sailboat racing, and that participants in sailboat racing occasionally sustain mortal or serious personal injuries and/or property damage as a consequence, and I knowingly assume all of the risks of sailboat racing. I agree that this waiver is binding on my heirs, representatives, successors and assigns.

CPYC shares Bluff Point in a residential neighborhood populated by many young children and pedestrians. Please be mindful of the 15 mph speed limit and stop signs on Saugatuck Island. The added minute or two will be safer, enhance your driving pleasure and do much to benefit our relations with local residents.

I agree to be bound by The Racing Rules of Sailing and by all other rules that govern this event.

_____________________________	_____________________________	(Crew members may sign upon arrival.)

Signature of Boat Owner/Skipper.	Crew

_____________________________	_____________________________	_____________________________

Crew	Crew	Crew

_____________________________	_____________________________	_____________________________

Crew	Crew	Crew

J/30 NA Championship 2006 NOR

Halsey Bullen

2009-08-02

Cedar Point Yacht Club