Identification for Online Entry

Personal Details

Person In Charge

Mobile Telephone (optional)

Mailing Address (optional)

Boat to Enter

ECPA PHRF Rating (for initial handicapping)

Colours (optional)

Agreement to Assume Risk and Hold Harmless

In consideration of participating in SPSC’s activities, I/We agree as follows: I have read or undertake to read the rules and regulations issued for all race activities and SPSC’s rules and agree to be bound by them. In consideration of SPSC membership and our being permitted to take part in any SPSC activities, I/We agree to save harmless the SOUTH PORT SAILING CLUB, and it’s organizers and their respective agents, officials, officers, executive and servants and representatives from and against all claims, actions, cost, expenses and demands in respect to death, injury, loss, or damage to any person or property, whosoever caused, arising out of or in conjunction with my taking part in the said activities, notwithstanding that the same may have been contributed to or caused or occasioned by the negligence of the same bodies, or any of them or their agents, officials, officers, executive and servants and representatives. I further understand and agree that this release is binding upon me and my heirs, executors and assigns.

Signature