SCSMR Registration

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First Name*

Last Name*

Street Address*

City*

State*

Zip/Postal Code*

Club Affiliation (or enter "None")*

Telephone Number*

Email Address*

Registration Type

PHRF

Portsmouth & One Design - Crewed Portsmouth & One Design - Single

Windsurfer

Guest - Dinner

Guest - No Dinner

Crew - Dinner

Crew - No Dinner

Your registration includes the following:

Crewed boat registrations - 2 event shirts, 2 dinner tickets and 2 beverage bands.
Single handed boats, Guests and Crew registrations - 1 event shirt, 1 dinner ticket and 1 beverage band.
Guest and Crew No Dinner - 1 event shirt and 1 beverage band
NOTE: For all registration types additional t-shirts may be ordered now or purchased, if still available, on the beach for $20 each. Extra dinner tickets may be purchased now or until noon Saturday for $20 each.

Terms and Conditions

In consideration of you accepting my entry I hereby agree to all the Conditions of these races which I have read and understood. I hereby warrant that my boat will be outfitted, equipped and handled in accordance with those Conditions, and that it will have all required equipment aboard, that it will be seaworthy in hull, rig and gear and that it will be competently manned. The decision to race is my sole responsibility.

In consideration of being permitted to participate in the Stephen C. Smith Memorial Regatta and fully knowledgeable of the risks of sailing, racing, motor boating and beach activities, I agree to hold harmless the organizers of the Stephen C. Smith Memorial Regatta, the Stephen C. Smith Memorial Regatta Foundation, Inc., the Apalachee Bay Yacht Club, the Shell Point Sailboard Club, the American Cancer Society, the Wakulla County Board of Commissioners, and their officers, members, directors, employees and agents from any and all damages, losses, claim suits, actions, expenses, or liabilities which may arise from my participation in this event.

** I hereby agree to pick up my beverage band in person. (Your beverage band will not be given to someone else to deliver to you.) Beverage bands are non-transferable.

Yes, I/We agree.

Extras

Number of EXTRA event shirts @ $20 ea.

Number of EXTRA dinners @ $20 ea.

Buy tickets for a chance to win a bucket of cheer? - $5 each ticket or 5 tickets for $20 (up to 15 tickets). Enter Number of Tickets

You can use this registration to donate directly to the Stephen C. Smith Memorial Foundation, Inc.
ALL donations will be given to the American Cancer Society (Luminary bag included*).
Please enter the amount you wish to donate.

In Memory of

- or -

In Honor of

Enter Person's Name

Or purchase just the luminary bag* for $5.00 (also available onsite at the event):

Yes

*Luminary bags for memorial walk Saturday night starting at 7:30PM