January 7-11, 2003

I wish to enter the 2003 International J/24 Midwinter Regatta. I agree to be bound by the Racing Rules of Sailing, the J/24 Class Rules, and by all the other rules that govern this event. I understand that I must check-in upon arrival for a confirmed entry in this event. I also understand that I and each member of my crew will be required to sign a RELEASE, WAIVER, AND RETENTION OF RIGHTS AGREEMENT at check-in.

Yacht Name:_____________________________ Sail Number:__________ Hull Color:____________

Boat Owner:______________________________ Co-owner:_______________________________

Skipper:__________________________________________________________________________

Address: _________________________________________________________________________

E-Mail Address: (Information only, NO SPAM) ___________________________________________

Home Phone:_____________________________ Work Phone:______________________________

Crew:___________________________________ Crew:___________________________________

Crew:___________________________________ Crew:___________________________________

·        I am a current J/24 Class Association Regular Member: Y N (If no, you must join at check-in)

·        Copy of valid Class Measurement certificate is enclosed. Y N

·        Please include a check (US Funds) for the proper fees as outlined in section 4.1 above. (Entry must be received by December 20, 2002 to avoid the late fee.)

Skipper’s Signature_________________________________________ Date____________________