What is your e-mail address?

Note: Registration not valid unless you receive a confirmation number.

Which regatta are you registering for?
Leukemia Cup Regatta - April 21-22, 2012

Which racing division? PHRF Spinnaker PHRF Non-Spinnaker Multihull FLYING SCOT-OPEN Easterly 30/Euro 30 Evelyn 32 J/30 J/24 J/22 M24 M32 R19 L16

V15 Viper VX One Optimist - Red Optimist - Blue Optimist - White Optimist - Green 420 Lightning Sunfish Fish Other

Skipper/Owner

Address

Phone

Company

USSA#

Club

Yacht Name

Make

Sail Number

PHRF Rating

Fund Raising URL

DISCLAIMER OF LIABILITY Competitors participate in the regatta entirely at their own risk. See rule 4, Decision to Race. The organizing authority will not accept any liability for material damage or personal injury or death sustained in conjunction with or prior to, during, or after the regatta. With my registration in the Leukemia Cup Regatta Series, I agree to abide by the Notice of Regatta and Sailing Instructions and limits of liability defined above.