Yacht Name:
Manufacturer /Model, Length:
Sail Number:
Owner Information:
First Name:
Last Name:
Street Address:
City:
State:
None
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Zip:
Email:
Primary Telephone:
- -
Secondary Telephone:
- -
Skipper Information:
Check if same as Owner:
First Name:
Last Name:
Street Address:
City:
State:
None
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Zip:
Email:
Primary Telephone:
- -
Secondary Telephone:
- -
Yacht Club:
US Sailing Association Member Number:
Boat Registration or Documentation Number:
PHRF-LO ASP Rating:
Fleet choice (Pick one)
Please Select a Fleet
Spinnaker
White Sails
Single-handed
Multi-Hull
OUT_OF_TOWN VISITORS
I will require overnight dockage
Yes No
FEES/RESERVATIONS
Race Entry Fee
NOTE Race Entry Fee will be $75 after Wednesday June 11th at 8:00 PM
$65 U.S.
Check if USSA Member ($5 discount)
Tickets for the picnic on Sunday, June 21th (12 and under free)
# Tickets:
@ $8 U.S. per person =
$0 U.S.
Total:
$65 U.S.
AGREEMENT
I hereby certify that I have the minimum equipment on board as set forth in the Notice of Race. Further I believe that my boat is well found for
this race, and that its equipment is in good working order. I agree to comply with The Racing Rules of Sailing and the Sailing Instructions for
this event. I agree to notify the SBLR Committee per Sailing Instructions should I withdraw from the race after starting. I understand that
failure to do so will make me ineligible to participate in future Scotch Bonnet Light Races. 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.
Signature of Owner
Signature of Skipper
PROCEDURE
Return this entry form, completed and signed, along with the entry fee (make checks payable to Genesee Yacht Club) to:
GYC SBLR
c/o Sam Weiner, Event Chair
101 Valley Road
Rochester, NY 14618