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ONLINE MEMBERSHIP APPLICATION

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Racing Registration

2021 Magothy River Sailing Association Race Entry Form

Name(Required)

First MI Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Cell Phone Number(Required)

Cancellation Phone Number(Required)

Email(Required)

Club Affiliation(Required)

MRSA

PSA

GIYC

YCCSC

Boat Information

Boat Name

Sail Number

Rating

Model

Requested Race Committee Date

1st Choice(Required)

MM slash DD slash YYYY

2nd Choice(Required)

MM slash DD slash YYYY

3rd Choice

MM slash DD slash YYYY

Series Participation

Series 1

Spinnaker

Non-Spinnaker

Multihull

Series 2

Spinnaker

Non-Spinnaker

Multihull

Series 3

Spinnaker

Non-Spinnaker

Multihull

Series 4

Spinnaker

Non-Spinnaker

Multihull

Series 5

Spinnaker

Non-Spinnaker

Multihull

Hallie Rice Fall Series

Spinnaker

Non-Spinnaker

Multihull

Entry Fees

Choose whice series you will participate in: (Make check payable to MRSA)

Full Season Entry $125

Single Series Entry $45

Hallie Rice Fall Series $20

Consent(Required)

Agreement to abide by all class rules, the RRS and disclaimer of liability:

This boat confirms in every way to her Class Rules and Measurements. A current handicap rating certificate is on file with the appropriate rating authority (PHRF or CMA), or I have made prior arrangements with the Race Committee Chairperson prior to competing in any race. I agree to adhere to high standards of good sportsmanship and to abide by the Racing Rules of Sailing (2021-2024), Notice of Race and Sailing Instructions for these events. In consideration of being permitted to enter these events, being knowledgeable of the risks of competitive sailing and knowing that it is my sole responsibility to decide whether to enter or to continue any race, I voluntarily assume the risk of participation in this event and release the Host Clubs (MRSA, PSA, GIYS and YCCSC) and the people conducting the event from all liability in connection with any injury or damage that may occur. I acknowledge that Race Committee duty is required for each boat participating.

Signature(Required)

Online Payment Available or Mail Checks To:

Ed Tracey 142 Webal Court Severna Park, MD 21146

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Membership Form

Membership Application

Date(Required)

MM slash DD slash YYYY

Name of Member Applicant(Required)

First MI Last

Cell Phone Number

Work Phone Number

Email Address

Home Phone Number

Alternate Phone Number

Name of Co-Member Applicant

First MI Last

Cell Phone Number

Email Address

Children

Yes

Children Names and Birth Year

Address(Required)

Street Address Address Line 2 City State Zip Code

Boat Information

Boat Name

Boat Make

LOA

Sail Number

PHRF Rating

VHF MMSI #

Home Port (location where boat is kept - marina/creek/river

About You

Please give a brief statement of your sailing experience:

List other club affiliations

So that the club may utilize your interests and experiences, please check at least one of the following:(Required)

Racing

Cruising

Junior Fleet

Programs

Entertainment

Summer Picnic

Education (Adult)

Education (Junior)

Financial / Planning

Publications

Committee Work

Membership

Race Management

Other (please list)

Other

Signatures

Member Applicant's Signature(Required)

Co-Member Applicant's Signature

Please submit dues ($75.00) to:

Membership Chair - Chris Adriance 2642 Queen Anne Circle, Annapolis MD 21403

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