2017 Mutineer 15 Midwinter Championship - April 1-2

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	2017 Mutineer 15 Midwinter Championship April 1-2 :: Tampa Sailing Squadron

Online Registration is Closed

If you have any questions, please contact Dan Kresge.

Boat Type/Preferred Division

One Design Divisions

Mutineer Gold

Mutineer Silver

Registrant Information

Email:

Name:

Address:

City:

State:

ZIP:

Cell Phone:

Club Affiliation:

Included Shirt:

XXL

Crew Name:	Crew Shirt:	S M L XL XXL
Crew Name:	Crew Shirt:	S M L XL XXL
Crew Name:	Crew Shirt:	S M L XL XXL
Crew Name:	Crew Shirt:	S M L XL XXL
Crew Name:	Crew Shirt:	S M L XL XXL

Boat Information

Sail Number:
Boat Name:

Entry Type & Fees

Entry Fee (includes 2 shirts, 2 dinners Fri.and Sat.)	$135.00
(Late Registration after 3/30/2017)	$50.00
USSailing Member (discount if checked) Member Number:	- $5.00

Meals and Regatta Merchandise

Extra T-Shirts:	M: L: XL: XXL:	@$18.00/ea.
Extra Friday Dinner:		@$8.00/ea.
Extra Saturday Dinner:		@$10.00/ea.

Total Due:

Sailing is an activity that has an inherent risk of damage and injury. Racers in this event are participating entirely at their own risk. See RRS 4, Decision to Race. The race organizers (organizing authority, race committee, protest committee, host club, sponsors, or any other official or agent) will not be responsible or liable for any damage to any boat or other property or any personal injury or death of any participant, in conjunction with or prior to, during or after the regatta. Each competitor agrees to participate entirely at his/her own risk and, to the fullest extent permitted by law, waives any rights to sue the race organizers and releases the race organizers from any and all liability, in conjunction with or prior to, during or after the regatta.

I have read and agree to these terms.

Name:

Date:

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