April 15, 16, & 17, 2005

Race Entry Form

Entry fee: $100.00 ($150.00 After 6:00 pm, Monday, April 11, 2005)

ENTRY DEADLINE:  Receipt by 12:00 noon, Wednesday April 13, 2005

Skippers First Name: *   Last Name            *             * Denotes Required Field
Address:         *
City:* State: *Zip*
 Home Phone *  Alternate Phone:
Email Address*

Boat Type:*  Boat Name:*
Sail Number (Required):*

Registrant Information

Fleet/Division:*  Jibs(Specify %): *
Roller Furling Headsail (No Sail Changes):  Roller Furling Main Sail     Spinnaker:

Spinnaker Pole: Engine:*  Propeller:  

Boat Identification (to select more than one hold CTRL + Click: 

Specify additional boat information that might help race committee establish your handicap:

Hull or Rig Modifications(List any and All):

Make checks payable to Texoma Sailing Club and mail completed applications and fees to:

Texoma Sailing Club
231 Churchill Lane
Pottsboro, TX  75706
*This is a mailing address only.

Questions:
Gary Witt  903-892-4422  gwitt@texoma.net
   

Social tickets MUST be reserved at the time of application and purchased at registration. Social tickets for events at Grandpappy Marina are $10.00 for Friday and $25.00 for Saturday, the latter ticket is all-inclusive. Dinner tickets for children 12 and under, are $5.00 per child, per night. Tickets will not be sold at the door on Friday or Saturday. The Denison Chamber is also planning an offsite social event at Tanglewood Resort which is $45 per person. Transportation to and from that event is available and must be requested in advance.

 

Friday Dinner & Party @ Tanglewood # of Adults @ $45 each Transportation to Tanglewood               
Friday  Dinner & Party @ Grandpappy # of Adults @ $10 each # of Children  @$5
Saturday Dinner & Party @ Grandpappy # of Adults @$25 # of Children  @$5
   

Entry Fee   

$100
   

Total Due:

You may include a check payable to o o Texoma Sailing Club for your entry fee and dinner tickets or you may register on line and pay fees at registration with cash, check, MasterCard, or Visa.) Cancellations will be accepted and refunds made until April 11, 2005.

I, the undersigned, in charge of the aforementioned boat, understand that my right to participate in the boating activity is conditional on my agreement to the following conditions: 
1. that the undersigned has the role and exclusive control and management of the boat or vessel described herein,
2. that the undersigned shall be wholly and fully responsible for the control, care and safety of such boat and crew,
3. that the undersigned shall indemnify and hold harmless the TSC, its officers, directors, committees, and members for any damage, loss, or injury, whatever its cause or extent, to myself, crew, or property arising out of my or our participation in this boating activity,
4. that the undersigned shall comply fully with The Racing Rules of Sailing and by all other rules that govern this event, sailing instructions, and safety requirements set forth by the race committee and those required by all jurisdictions, local, state, and federal, and hat the undersigned has in force and effect a policy of liability insurance which covers the owner, skipper, crew, and vessel while engaged in the contemplated activity.
I understand and herewith so agree,
Owner’s or Skipper’s Signature  _________________________________________________________          Date  __________________________

All entries will be confirmed by return e-mail; for electronic entries you will be required to sign an entry form and make payment at check-in. (M/C, Visa, check, and cash at check-in.) You may mail an original copy with fees, to the address above.