JABBO GORDON REGATTA
Saturday, APRIL 11, 2009
Send this page and
check to VYBA, INC.
Registration fee per sailor is $25 ______
Registration fee on race day is $35 per sailor ______
Registration includes lunch
Lunch (Parents/Friends) $5 each # _______ _______
TOTAL _______
(Note: There is no place to buy lunch at this site. Extra T-shirts will be available for purchase.)
REGISTRATION
NAME____________________________________Date of Birth________Age___
M ___ F___
T-SHIRT SIZE:
YOUTH: SMALL________ MEDIUM________ LARGE________
ADULT: SMALL________ MEDIUM________ LARGE________ X-LARGE______
ADDRESS______________________________________________
PHONE_________________
TEAM / CLUB ____________________________
E-MAIL ADDRESS ______________________
CLASS ________________ SAIL # ________________
WAIVER OF LIABILITY
By allowing my child ___________________________to participate in the regatta, I recognize and understand that participation in the races is voluntary in nature and is at the invitation of the Venice Youth Boating Association, Inc. I recognize that my child incurs risks attendant to sail and water related activities.
I___________________________fully agree to waive any and all claims, charges, losses, and liabilities including those caused by negligence against Venice Youth Boating Association, Inc., its officers, directors, and members; Sarasota County Parks and Recreation Department and against any and all volunteers, parents, participants or others who may in any way be connected with the practices or activities of the races.
I understand that I am responsible for the actions of my
child while he or she may be participating in the Races and on the grounds of
Indian Mound Park of Sarasota, County.
Parent’s name (Signature)__________________________Date_________
(Print Name) _________________________________________________
Child’s Name (signature) _______________________________Date __________
(Print Name) _________________________________________________