The Muskegon International 210 Fleet Association

The Muskegon Yacht Club
3198 Edgewater
Muskegon , MI 49441

OFFICIAL REGISTRATION FORM

1996 MIDWEST CHAMPIONSHIP REGATTA

YACHT NAME_________________________COLOR______________SAIL NO:__________

SKIPPER______________________________________________________________________

ADRESS______________________________________________________________________

CITY__________________________________STATE_______PHONE___________________

CREW:

__________________________________ _________________________________

__________________________________ _________________________________

Please enter this yacht in the 1996 Midwest Championship Regatta. I certify this yacht is in seaworthy condition, meets eligibility requirements and that I am responsible for the safety of my crew. I assume responsibility for the conduct of my crew as guests of The Muskegon Yacht Club. I agree that I participate in this regatta at my own risk and that the Muskegon Yacht Club and the Muskegon 210 Fleet are not liable for injuries or damage to participants.

SKIPPER SIGNATURE______________________________________DATE_______________

REGISTRATION FEE:

$195 (SKIPPER PLUS TWO CREW MEMBERS) $45 (ADDITIONAL CREW/GUEST)

MAIL REGISTRATION WITH CHECK TO:

210 REGATTA CHAIRMAN

MUSKEGON YACHT CLUB

3198 EDGEWATER

MUSKEGON, MI 49441

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