YEAR 2002 ORIENTAL CUP REGATTA and BOAT SHOW

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YEAR 2005 ORIENTAL CUP REGATTA
SEPTEMBER 16, 17, 18

RACE REGISTRATION FORM

Sail # _______ Yacht Type or Make _______________________________________ LOA

Boat name: ___________________ PRHF: _____________ if unknown, you will need to get a PRHF form from Joe Wakefield at 252 249 0901or Mark Weinheimer at 252 249 3001

__________ Spinnaker ______ non-spinnaker/cruising ____ one design * ______ multi-hull
* a minimum of 5 boats of the same type registered by August 15, 2005 will form a one-design class

beam _____ draft ______ Mast height _______

Owners name __________________________

Skipper (if not owner) _______________________

Address: _________________________________________________________________

Home phone: ____________ Work phone: _____________ Fax _____________________

email address: ___________________ Cell phone: ____________ week-end phone:

Vessel's home port** ______________________________
** Free dockage will be available to the first out-of-town to register. Do you need free dockage?
____ YES, I NEED FREE DOCKAGE _____ NO I DO NOT NEED FREE DOCKAGE

All boats registered on or before August 19, 2005 will have the name of the boat printed on the 2005 Oriental Regatta t-shirt

Each year we have people who would like to crew but have no boat. Would be willing to take extra crew?
____ YES ______ NO

Regatta Registration Fee $ 90 (includes 2 week end meal tickets)

Additional meal tickets (Fri. Hor doeuvres - food tasting, Sat. Dinner, Sun. Brunch) $35

Qty ____ x $35 = total $ ____

Number/size T-shirts, $20 each, S ___ M ___ L ___ XL ___ XXL ____ total shirts ___ Qty x $20
= $ ________

Amount Enclosed: $ ____________ Check No.: ______________ (checks to be made out to the Oriental Cup Regatta and note in the "for" portion of the check "Bill Harris Memorial Scholarship Fund")

RELEASE: I agree to abide by all rules, regulations and sailing instructions for this event. I voluntarily assume any and all risk of participation. I hereby release and agree to hold harmless all sponsors, officers, committee members, and employees from any liabilities whatsoever including which being a passenger or crew of any vessel may assert.

Date: ____ - _______ - __________ Captain _____________________________________
(signature)

PRINT THIS FORM AND MAIL TOGETHER WITH CHECK MADE OUT TO ORIENTAL CUP REGATTA TO:

Race Committee, Oriental Cup Regatta, PO Box 1064
Oriental, NC 28571-1064

If you have any questions please contact Joe Wakefield at 252 249 0901 or joew@esisnet.com

All proceeds go to the William B. Harris Memorial Scholarship Fund

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