Dana Point Yacht Club Phone: 949.496.2900 Fax: 949.496.1603

All Information Is Required (Except *) Entry Registration — Skipper / Yacht Skipper's Name:    * Co-Skipper: Yacht Name:    Sail Number: Yacht Mfg/Design:    Length:   Beam:  Draft: Yacht Club: Select Entry Early Entry - $75 Entry - $125 Please note Early Entry Deadline as stated in the NOR. Fleet/Class Entered: PHRF  ORR  IRC  One-Design  Double-Handed  Multi-Hull   Cruise-Spin  Cruise N/S     (see Cruising Adjustment Factors below) Member PHRF: Select Yes No    Buoy Rating:  RLC Rating:  OWC Rating:   PHRF Performance Factor:    Non-Spin Offset: Current PHRF Certificate on file: Select Yes No ORR / IRC: ORR Offwind Rating:   IRC Rating: * Cruising Adjustment Factors: Roller-Furling Jib: Select Yes No     Roller-Furling Main: Select Yes No   Max. Jib Size:   Jib Material:   Main Material:   Fixed Blade Prop: Select Yes No    Number of Blades: Slip Accommodations: CBYC: Select Yes No     DPYC: Select Yes No Estimated Dinner Reservations: CBYC Friday:   DPYC Saturday:   DPYC Sunday: In consideration of your acceptance of my entry, I hereby certify, agree and acknowledge: 1. My yacht is equipped to conform with all USCG requirements and those of the ISAF, PHRF or any fleet in which I shall compete. 2. I certify that the rating entered hereon is valid. My yacht may be inspected before or after any race. 3. I agree with the Club and all other contestants to comply with all rules and/or sailing instructions governing the race(s). 4. To the fullest extent allowed by law, I hereby release the Club and any other organizing authority, their officers, agents and committeemen from any and all liability for any injury or death to myself or crew, or damage to my boat or other boats, arising out of their conduct of, or my participation in this race/series to the extent that such release does not discharge my insurance carrier under the provisions of insurance policies on my boat.. 5. I assume any risk of injury or death arising out of my participation in the race(s), failure or breakage of my yacht or any of my equipment or weather conditions. 6. I agree not to sail in hazardous conflict with Naval vessels or commercial shipping. 7. I own or have chartered the boat entered and am a member in good standing with the yacht club shown above. 8. The Safety of a yacht and her crew is the sole and inescapable responsibility of the owner, or owner's representative who must do his best to ensure that the yacht is fully found, thoroughly seaworthy and manned by an experienced crew who are physically fit to face bad weather. He must ensure that all safety equipment is properly maintained and stowed and that the crew know where it is kept and how it is to be used. 9. Competitor's attention is drawn to RRS 4 - Decision To Race: The responsibility for a yacht’s decision to participate in a race or to continue racing is hers alone. 10. I understand that my image may be recorded at the Event, and I hereby give my permission to use my images with or without my name for any promotional purpose of the Dana Point Yacht Club. I certify that the information given above is correct and that I agree to the above stated conditions.