openbic2011na

2011 North American O'pen Cup Registration
August 20-21, 2011
4475 Erie Road, Ridgeway, ON, L0S 1N0
(905)894-2750

* Required

Title

First Name *

Last Name *

Email Address *

Date of Birth *

Home Address *

City *

State *

Zipcode/Postcode *

Country *

Home Phone Number *

Work Phone Number *

Cell Phone Number *

Sail Number *

Hull Colour

Boat Name

Club

U.S.S.A #

CYA #

Release: For and in consideration of the acceptance by the Buffalo Canoe Club of my entry in the 2011 O'pen Bic North American Championships, I hereby accept all the risks and responsibilities of my boat's participation in said regatta and waive to the fullest extent permitted by law and any and all claims I may have against the Buffalo Canoe Club, its members, officers, committees, agents and/or employees arising out of or in any way connected to such participation. I agree to be bound by the 2009-2012 Racing Rules of Sailing an by all other rules that govern this event. I further expressly agree that the foregoing release and waiver is intended to be as broad and inclusive as is permitted by law and that if any portion, clause or subclause hereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full force and effect. It shall be the responsibility of each skipper to decide whether or not to start or continue to race.

I have carefully read this agreement and fully understand its contents, I am aware that this is a release of liability and waiver of claims and sign it of my free will. If Skipper is under 18 yrs of age a parent or guaradian must co-sign.

By clicking the "submit" button you hereby agree to all terms and conditions.

Payment, BCC Member #

Payment, Visa or Mastercard, enter card # and expiry date.