Name:        Sail Number:

 ILCA#:                                   US Sailing #:

  Address:

   Email:

  Crew:     ILCA#:

  Address:

    Email:

  Crew:      ILCA#: 

  Address:

    Email:

    Registration $45.00 ($40.00 for US Sailing Members)         $

    Sat Lunch $4 Sat Dinner $10 Sun Lunch $4

                                                                       Total Meals:    $

                                                                       Total Due:       $

    Ohio District Member Paid  Yes   No (Add $5.00 per entry)

In consideration of your accepting my entry, I agree to be bound by the current Racing Rules Sailing (RRS), the ILCA rules, and all other rules governing this event. I hereby agree that the boat holds an approved measurement certificate. I do for myself, my executors and administrators, heirs and assigns, waive any and all claims as may accrue to me or them against  PYC, its officers, directors, members, employees, and agents, and any one or more of them arising out of the participation of my boat in any race of  PYC, or arising from any related activities.

Signed this ____day of _________, 2002  ____________________________________
                                                                        Signature of owner or charterer             

Please print a copy of this form before you submit it to us! Thanks!