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					                                                  Entry Form
                                          Arizona Yacht Club
                                 Tempe Town Lake Match Race Regatta 2004
                                           Tempe Town Lake, Tempe, Arizona
                                                    May 8, 2004
Mail completed race entry form to the Arizona Yacht Club (AYC) Match Race Committee. All entries must be received by
5 PM, Saturday, May 1, 2004. No entries will be accepted after this date and time.

ELIGIBILITY - Eligible skippers are limited to these categories:
    AYC Members
    Non-AYC Members registered as skippers for the AYC Fall 2003 or Spring 2004 Tempe Town Lake Race Series
    Non-AYC Members registered as skippers for the AYC Fall 2003 or Spring 2004 Lake Pleasant Race Series

Please PRINT
Skipper’s Name ______________________________________ Phone ____________________________

Street Address _________________________________ City _______________ Zip __________________

E-mail Address _________________________________

Registration Class (Circle One)
    AYC Members
    Non-AYC Members registered skippers for the AYC Fall 2003 or Spring 2004 Tempe Town Lake Race Series
    Non-AYC Members registered skippers for the AYC Fall 2003 or Spring 2004 Lake Pleasant Race Series
Please enter me in the AYC Tempe Town Lake Match Race Regatta, May 8, 2004 at Tempe Town Lake, Arizona. I agree
to be governed by the current Racing Rules of Sailing (RRS), the prescriptions of US SAILING and the instructions
contained in the Notice of Race.
I also agree to the following:
     1. I hereby release the Arizona Yacht Club, any sponsoring group, its officers, agents, or committee people from any
         and all liability for any injury of myself or damage to my boat arising out of conduct of the race, to the extent that
         such release does not discharge my insurance policies.
     2. I further agree to indemnify the Arizona Yacht Club and the owner of any borrowed boat assigned to me for these
         races for any loss or damage that may occur to the boat assigned to me and to any other property damaged by
         the assigned boat while it is in my use/possession, whether being unloaded, rigged, launched, sailed, docked, de-
         rigged, retrieved or returned from assignment back to the Race Committee.
     3 I also agree to hold Arizona Yacht Club and the owner of any boat assigned to me blameless and save them from
         any expense or claim that might arise from any injury or damage to persons or property that might occur while the
         assigned boat is in my use of possession. I agree to pay all attorney's fees, court costs or other reasonable
         expenses incurred if legal action becomes necessary to defend any legal proceeding seeking to retrieve
         compensation for property damaged or persons injured by the assigned boat in my use or possession.

Signed _____________________________________________ Date ____________________________



Make check payable to: ARIZONA YACHT CLUB
Entry Fee:    AYC Members $20.00                         Mail to:   Emory Heisler
              Non-Members $25.00                                    TTL Match Race Committee
                                                                    PO Box 598
                                                                    Tempe, AZ 85281
                                                                    Phone: (602)679-0462
                                                                    Email: emory.heisler @ cox.net


Check #________ VISA, M/C, A/E #______________________________ Expiration __/____/___ Amount $_________

US SAILING members may deduct 10%. Proof of membership must be provided upon request.

				
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