Groton Long Point Yacht Club

Groton Long Point, CT 06340  860-536-0242

ONE DESIGN REGISTRATION FORM

for BJs, JYs, Lasers, 420s

 Class        _________________________________ Sail Number______________________________

Helmsman  _________________________________Club ____________________________________

Address      _________________________________Birth Date________________________________

                     _________________________________ Phone __________________________________

Crew           _________________________________Club ____________________________________

Address     _________________________________Birth Date________________________________

                    _________________________________ Phone __________________________________

 I agree to abide by the regulations established for this event and declare that my boat conforms to her class rules and measurements. I further agree that ECSA. the host club, and their officers and members are not in any way responsible for accidents associated with this event that may involve me, my crew, and my boat The undersigned PARENT or GUARDIAN authorizes the host organization, its staff, members, or agents the right to seek proper medical treatment should the parent/guardian not be available.

Helmsman    ___________________________ Parent/Guardian Signature______________________

 Crew            ___________________________ Parent/Guardian Signature______________________

 Date             _______________

EASTERN CONNECTICUT SAILING ASSOCIATION