57 Annual Dauphin Island Race 2015

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57 Annual Dauphin Island Race 2015
Hosted by Fairhope Yacht Club
Sponsored By Exxon Mobil, Evonik, Optera, & Core Industries
Skipper Name _____________________________________ Phone Day _______________
Address __________________________________________ Phone Night ______________
City_______________________ST_____ Zip ____________ Phone Cell _______________
Yacht Club (One) ______________ Email ________________________________________
Boat Name _________________________________________ Mainsail #_______________
Manufacturer ________________________________________ L.O.A.__________________
Will you need to park a trailer (choose one) YES / NO What length _____________________
Select Fleet All PHRF registrants must submit a valid PHRF Certificate Number or the boat will be
registered as PORTSMOUTH. Unless otherwise specified, all boats will be registered
NON-SPINNAKER. The Race Committee will confirm all ratings.
Circle one of the following choices and provide the requested information.
PHRF: Rating _______ Certificate # _____________ Spinnaker? YES / NO (circle one)
PORTSMOUTH: Rating _______ Largest Head sail(%)_________ Spinnaker? YES / NO (circle one)
MULTIHULL: Rating _______ Spinnaker? YES / NO (circle one)
ONE DESIGN: Requested Class __________________________ We will attempt to construct
“one design” for three or more requests for ONE DESIGN by boats of a single type for the DI Race
only.
SKIPPER OVER 60? (Y/N) ___________ ALL FEMALE CREW (Y/N)_____________
By virtue of my signature above or below, and in consideration of my being able to participate in this Regatta, I do hereby
recognize and agree that the decision to enter, start, continue to race, or withdraw from the race is mine and that of the skipper
and/or crew alone, and I therefore, on behalf of myself, the owner and crew, release and discharge the Fairhope Yacht Club, its agents,
servants, officers and committees from any and all liability for any and all injuries and damages, resulting from, caused by or which is
alleged to have resulted from my yacht's participation in this regatta whether caused or alleged to have been caused by the negligence or
wantonness of the parties released hereby.
Skipper's Signature _____________________________________________Date ______________
Race Committee Use Only
Division___________________Class__________________Rating __________________D.I.N_______________
2015 DAUPHIN ISLAND RACE
ORDER FORM
Skipper Name: ________________________________________________________
USSA Member Number: ____________________(USSA numbers will be verified)
RACE REGISTRATION
USSA
NON-USSA
WARM UP RACE
$35.00
$40.00
DAUPHIN ISLAND RACE
$45.00
$50.00
WARM UP & DAUPHIN ISLAND RACE
$75.00
$85.00
$75.00
$75.00
TOTAL
DAUPHIN ISLAND RACE, After 5pm April 22
All boats registering at this time will be placed in a single
Portsmouth non spinnaker class. No registrations accepted
after 5 pm on April 24.
Eastern Return Race, Back to FYC April 26
There is no fee but please mark YES or NO in the total
column so we know you are planning to participate.
YES / NO
Western Return Race, Back to MYC April 26
There is no fee but please mark YES or NO in the total
column so we know you are planning to participate.
YES / NO
TOTAL
Completed this forms and return with payment to
Fairhope Yacht Club
P.O. Box 1327
Fairhope, AL 36533
Checks payable to 'Fairhope Yacht Club'
Master Card / Visa (Circle one)
Credit Card # _______________________________________ Exp. Date _______________
Name as it appears on card ____________________________________________________
If you have any questions contact John Hirsh at [email protected] or (251) 6354458.
Shirts and other Dauphin Island merchandise is available at Coral Reef Sailing Apparel, CRSA.com.
CRSA will have a store at the skippers meeting Friday night and
at Dauphin Island.