2017 Dinghy Racing Registration Form Bellingham Yacht Club If registering more than one boat (i.e. for Dinghy Racing and PHRF Racing) you must complete the appropriate registration form for each boat. Skipper Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Day or Cell Phone*Email* Enter Email Confirm Email Crewed*Single HandedDouble HandedCrew Name* First Last Sail Number*Class*If "Other Class" is selected, you will see a new field below the class selections to enter the name of the other boat class.RS TeraOptiLaser 4.7Laser RadialLaser Full RigFJ29er505Other ClassOther Class*Length Overall*Hull ColorYacht ClubUS Sailing #Minimum One-Design Class Requirements A minimum of five (5) boats shall constitute a class. If there are not enough boats to constitute a class, then the race committee may score you using the Portsmouth scoring system. Racing WaiverIn consideration for participating in BYC Races, I represent to its organizers that my yacht has liability insurance currently in effect, covering property damage, personal injury and death in an amount not less that $300,000 per occurrence, and that the policy covers yacht racing activities. I acknowledge that the decision to enter my yacht and crew to participate in this event is solely my own; and I agree to be bound by the International Yacht Racing Rules as adopted by US Sailing, including national prescriptions, except as modified by the organizers, and the race notice for this event. I further agree to hold harmless the Bellingham Yacht Club, its officers, representatives or race committee for damages or losses which I or anyone on my boat may incur which are associated with my participation in this event and related activities.Waiver Acceptance* I accept the above statement. Date* Name* First Last Racing SeriesSelect the series option in which you wish to participate. Complete Series*Full Tuesday Night Series ($75)BYC Youth Racing Team (Included with your Race Team Fee)Full 2017 Tuesday Night Series Selected Price: $75.00 Full 2017 Youth Race Team Tuesday Night Series Selected Price: $0.00 Total $0.00 If paying by check, please mail to: BYC Dinghy Racing Bellingham Yacht Club 2625 South Harbor Loop Drive Bellingham, WA 98229 Payment Option*Please select payment option. Do not send cash by mail! BYC members may charge their racing fees to their account.Credit Card (via PayPal)Charge to Account (BYC Members)Check This iframe contains the logic required to handle AJAX powered Gravity Forms.