Fleet 31 Member Registration Form

2010 ENSIGN FLEET 31 Dues

Owner’s Name:

Boat Name: Sail #:

Address:

Email:

Phone Winter: Phone Summer:

Basic Membership Fee $30.00:	_________
Donation to Nationals :	_________
Total Amount Enclosed:	_________

Please print form, fill out (if racing include waiver), include check and send to:

Jason Dunn
320 Westland Ave.
Bexley, OH 43209

Checks should be made out to Fleet 31 Ensign

Checks and waivers should be submitted no later than June 1, 2010 (Earlier the better!!)

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Waiver of Liability 2010

Note: A signed waiver must be submitted to the Race Committee prior to the first race entered in 2010.
Owners may wish to have separate agreements with their skippers.

Send to:
Frank LaBelle
PO Box 544
Cedarville, MI 49719

In consideration of being permitted to enter races sponsored by the Les Cheneaux Yacht Club, Cedarville, Michigan, and being fully knowledgeable of the risks of sailing as a competitive sport, the undersigned voluntarily assumes the risk of participating in said races. Further, the undersigned hereby releases and forever discharges Les Cheneaux Yacht Club, its officers, directors, and members, from any and all actions, causes of actions, claims and demands for damages, loss of injury, howsoever arising, which may be sustained now or in the future as a result of participating in races sponsored by the aforementioned club.

The owner of each yacht shall be fully responsible for the actions and safety of his/her crew and hereby accepts any liability resulting from such actions and responsibility for such safety regardless of whether the owner is aboard the yacht. It shall be the responsibility of the owner to advise his/her skipper or crew of the content of this agreement. It shall be the sole responsibility of each owner or skipper to decide whether to start or continue a race.

Signature:

Name Printed:

Address:

City: State: Zip:

Home Phone:

Cedarville Phone:

Name of Boat:

Hull No.:

2010 ENSIGN CLASS ASSOCIATION Dues

Owner’s Name:

Address:

City:_____________________________ State: ______ Zip: _______

Email:__________________________________________________

Phone Home:_________________ Phone Work:________________

Boat #: Boat Name:

Fleet Affiliation or sailing venue: Fleet 31

Regular Membership Fee $25:	_________
Associate Membership for family/crew at $15 each	_________
(Please include names, mailing and email addresses)
Tax deductible contribution to ECA	_________
Total Amount Enclosed:	_________

Please mail this form with your check payable to Ensign Class Association to:

Kay Snider, Treasurer
Ensign Class Association
PO Box 230
La Porte, TX 77572-0230

Questions: TreasurerECA@aol.com (281) 471-7508