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Membership Levels

Level	Price
RACING - Full Series	$125.00 now.	Select
RACING - Single Series	$45.00 now.	Select
RACING - Spring Fling	$15.00 now.	Select

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© 2023 Magothy River Sailing Association. All Rights Reserved. MAT

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

Form Confirmation(Required)

By checking this box, the Applicant confirms that all information provided is accurate and true.

Please submit dues ($150.00 ($100 membership+ $50 initiation fee)) via the MRSA Webpage at: https://magothysailing.org/join-mrsa

Membership Chair - June Doezema

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Racing Registration

2023 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

DH

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.

Online Payment Available or Mail Checks To (payable to MRSA):

John Nicholson 183 Doncaster Rd, Arnold, MD 21012

Online Payment Available at: https://magothysailing.org/racing

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Junior Training Release Form

Year: 2021

You are about to participate in The Magothy River Sailing Association sailing course (the “Sailing Course”), a course developed to familiarize you with sailing, boating, and being around water. As part of the Sailing Course, you will be required to exhibit sailing, boating, swimming and water skills. The course involves extensive field work and sailing and boating exercises on the water. You will encounter the inherent risks and dangers of being on and in the water and around boats, as well as the additional risk of working by yourself and in groups. Field sessions, being sometimes on the water, may involve locations from which evacuation of participants would be long and difficult, if the participant were injured. As you realize, such activity can be dangerous and you each assume the risk of participating in this course. As part of this course, you may also encounter additional risks not inherent to normal sailing, boating, or being about the water.

As a requirement of this course, and in consideration of the opportunity to participate in this course, you are required to acknowledge the following: that you, for yourself, your heirs, representatives, officers, agents, servants, employees, successors, assigns, and anyone claiming by or through you, do hereby remise, release, and forever discharge The Magothy River Sailing Association, The Grachur Club, Inc. and their members, both individually and jointly, their respective representatives, officers, agents, servants, attorneys, employees, successors, and assigns (the “Released Parties”), from any and all liability, regardless of any negligence on the part of the same, claims, suits, proceedings, debts, sums of money, accounts, covenants, agreements, promises, judgments, contracts, damages, costs, expenses and demands of whatsoever kind and nature, whether in law or in equity, which you may have, have had, or may at any time hereafter have, arising out of or otherwise connected, in any way, with participating in the Sailing Course. As further consideration for being permitted to participate in the Sailing Course, you hereby agree to indemnify and hold harmless the Released Parties from all claims and demands for damages, costs, expenses, attorney’s fees, litigation expense and compensation for which any of the Released Parties may be found liable to pay to anyone because of your participation in the Sailing Course.

By signing this release, you are hereby certifying that you are in good health and physical condition and that you are not aware of any medical condition that would put you at risk during the period of time in which this course will be taught.

This release shall be governed by the applicable law of the State of Maryland. If any part of this Release shall be determined to be unenforceable, all other parts shall be given full force and effect.

Participant

Name(Required)

First Last

Date(Required)

MM slash DD slash YYYY

Participant Signature(Required)

If the Participant is under 18 years of age, the undersigned parent or guardian also hereby consents to the above Participant participating in the course and signs this Release on behalf of the Participant.

Parent or Guardian

Name(Required)

First Last

Date(Required)

MM slash DD slash YYYY

Parent or Guardian Signature(Required)

CAPTCHA

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Junior Training Medical Waiver

Year: 2022

I/We, parent or guardian of:

Name

First Last

authorize and consent to any X-ray, examination, anesthetic, medical or surgical diagnosis rendered under the general supervision of any member of the medical staff licensed under the provisions of the Medicine Practice Act or a dentist licensed under the provisions of the Dental Practice Act and the staff of any acute general hospital holding a current license to operate from the State of Maryland Department of Public Health. It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required but is given to provide authority and power to render care that the aforementioned physician in the exercise if his best judgment may deem advisable. It is understood that effort shall be made to contact the undersigned prior to rendering treatment to the patient, but that any of the above treatment will not be withheld if the undersigned cannot be reached.

Parent or Guardian

Name(Required)

First Last

Date(Required)

MM slash DD slash YYYY

Parent or Guardian Signature(Required)

Medical Notes (Allergies, special conditions, current medications, etc. use attachments as necessary.)

Medical History (Chronic Conditions or Recent Injury/Illness):

Medical Insurance Information (Insurer, Policy Number, Member Number, etc.):

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Junior Training Registration Form

Student Information

Student Name

First Last

Affiliation

MRSA

Grachur Club

None

Student Age (minimum 9 by 7-12-2021)

Member Name

First Last

Address

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

Evening Phone

Email

Emergency Contact during Program Hours:

Parent

Daytime Phone

Name:

Daytime Phone

Name:

Daytime Phone

Medical Information

Medications:

Yes

No

If Yes:

Allergies:

Yes

No

If Yes:

Experience

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