2000 KW-Balt Entry Form

Key West to Baltimore Race for the Hemingway Cup Entry Form: Yacht Name _______________________________________ Sail Number ___________________________ Designer/Class __________________________________________ LOA ____________________________ Owner's Name ___________________________________________ Yacht Club/Assoc. ________________ Address_________________________________________________________________________________ City ____________________________________________ State _____________ Zip __________________ Home # ___________________________________ Office # ______________________________________ Fax # _____________________________________ Email ________________________________________ Captain1s Name (if different from above) ______________________________________________________ Entry must be accompanied by applicable certificates and forms. IMS - Valid 2000 Rating Certificate & Accommodation Certificate where applicable Crew/Participant Form & Master Crew/Participant Form Fees: Entry..................................................................................... US $750.00 Total # ________ of Participants x $50.00 = $_____ (Taken from Master Crew/Participant Form) Total $______ Make all checks payable to the StormTrysail Club: Amount enclosed __________________________ Visa/ Master Card __________________________________________ Exp. Date ________________ Waiver and Release of Liability: I understand that the safety of my yacht and that of her crew, and the decision whether or not to start or continue to race, are my responsibility and not that of The City of Baltimore or The Storm Trysail Club, Inc. In consideration of the acceptance of this entry, I for myself and my heirs, legal representative, successors and assigns, hereby hold harmless and waive any and all claims which I and any of them may at any time have against The City of Baltimore and the The Storm Trysail Club,Inc., its officers, members, and any of their employees and agents arising out of participation and the participation of my yacht and any accompanying tender in this event. _____________________________________________ _____________________ Signature of Owner/ Charter Date Key West to Baltimore Race for the Hemingway Cup Master Crew & Participant List Please list all crew members and participants Boat Name ______________________________________________________ 1. __________________________________________ 13 ____________________________________ 2. __________________________________________ 14. ____________________________________ ___ 3. __________________________________________ 15. ____________________________________ 4. __________________________________________ 16. ____________________________________ _ 5. __________________________________________ 17. ___________________________________ 6. __________________________________________ 18. ____________________________________ 7. __________________________________________ 19. ____________________________________ 8. __________________________________________ 20. ____________________________________ 9. __________________________________________ 21. ____________________________________ 10. _________________________________________ 22. ____________________________________ _ 11. _________________________________________ 23. ____________________________________ _ 12. _________________________________________ 24. ____________________________________



		Key West to Baltimore Race for the Hemingway Cup Entry Form: Yacht Name _______________________________________ Sail Number ___________________________ Designer/Class __________________________________________ LOA ____________________________ Owner's Name ___________________________________________ Yacht Club/Assoc. ________________ Address_________________________________________________________________________________ City ____________________________________________ State _____________ Zip __________________ Home # ___________________________________ Office # ______________________________________ Fax # _____________________________________ Email ________________________________________ Captain1s Name (if different from above) ______________________________________________________ Entry must be accompanied by applicable certificates and forms. IMS - Valid 2000 Rating Certificate & Accommodation Certificate where applicable Crew/Participant Form & Master Crew/Participant Form Fees: Entry..................................................................................... US $750.00 Total # ________ of Participants x $50.00 = $_____ (Taken from Master Crew/Participant Form) Total $______ Make all checks payable to the StormTrysail Club: Amount enclosed __________________________ Visa/ Master Card __________________________________________ Exp. Date ________________ Waiver and Release of Liability: I understand that the safety of my yacht and that of her crew, and the decision whether or not to start or continue to race, are my responsibility and not that of The City of Baltimore or The Storm Trysail Club, Inc. In consideration of the acceptance of this entry, I for myself and my heirs, legal representative, successors and assigns, hereby hold harmless and waive any and all claims which I and any of them may at any time have against The City of Baltimore and the The Storm Trysail Club,Inc., its officers, members, and any of their employees and agents arising out of participation and the participation of my yacht and any accompanying tender in this event. _____________________________________________ _____________________ Signature of Owner/ Charter Date Key West to Baltimore Race for the Hemingway Cup Master Crew & Participant List Please list all crew members and participants Boat Name ______________________________________________________ 1. __________________________________________ 13 ____________________________________ 2. __________________________________________ 14. ____________________________________ ___ 3. __________________________________________ 15. ____________________________________ 4. __________________________________________ 16. ____________________________________ _ 5. __________________________________________ 17. ___________________________________ 6. __________________________________________ 18. ____________________________________ 7. __________________________________________ 19. ____________________________________ 8. __________________________________________ 20. ____________________________________ 9. __________________________________________ 21. ____________________________________ 10. _________________________________________ 22. ____________________________________ _ 11. _________________________________________ 23. ____________________________________ _ 12. _________________________________________ 24. ____________________________________