Districts Entry Form

District 18 Championships -- Entry Form -- August 23rd and 24th, 2008

Sail No.: __________

Yacht Name: _________________________________________________________________________

USJCA Membership No.: ____________________ (will be verified at registration)

Note: The following crew weight information will be determined at registration, please leave blank.

Helmsperson: ________________________________________ Weight: _______

Co-Helmsperson: ___________________________________ Weight: _______

Crew Name: ________________________________________ Weight: _______

                                                                                         Total Weight: _______
Contact Information:
Name: ______________________________
Address: ________________________________________    Tel. (Res.): ________________
_______________________________________________     Tel. (Bus.): ________________

In entering this regatta, I hereby release DYC and any sponsoring group, its officers, agents or committee people from any and all liability for injury to myself, my crew, or my yacht arising out of the conduct of these races. I am a current member of the J/24 Class Association. I certify the yacht conforms to the current J/24 Class Rules, and I authorize any member of the Race Committee to inspect the yacht at any time.

Skipper's Signature______________________________________ Date__________________________

Registration Fee (includes 1 dinner ticket) ____________ ($65.00)

Extra Dinner Tickets ____________ ($15.00/ea)

J24 Class Association Dues (USJCA) ____________ ($60.00)

Fleet 46 Dues (Fleet 46 ~ Dillon Only) ____________ ($25.00)

Total Amount Enclosed: ____________

* (1) dinner ticket with registration

* No Credit Cards

* Checks payable to: J/24 Class Association/Fleet 46