EFG Winter Cup 2016 Registration Question Title Online Registration Form Question Title * 1. Skipper information: First Name: Last Name: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Country: Email Address: Phone Number: Question Title * 2. Boat information: Sail number: Boat name: Home club(s): Question Title * 3. Where do you plan on storing your boat and trailer in Miami for the Winter Cup? US Sailing Center (Recommended) Shake-A-Leg Other (please specify) Question Title * 4. Crew 1 information: First name: Last name: E-mail: Question Title * 5. Crew 2 information: First name: Last name: E-mail: Question Title * 6. Crew 3 information (if applicable): First name: Last name: E-mail: Question Title * 7. WAIVER By clicking ACCEPT below, the skipper electronically signs waiver. As a condition of participation: 1) My crew and I recognize that sailing is an activity that has an inherent risk of damage and injury associated with it. We have read Rule 4, Decision to Race, and hereby acknowledge and agree that we are participating in this event entirely at our own risk. 2) I acknowledge and agree that neither the organizing authority nor the race committee will be responsible for: i. any damage to the entered boat or my other property, or ii. any injury to my crew or me, including death, sustained as a result of our participation in this event. 3) I hereby waive any rights I may have to sue the race organizers (Organizing Authority, Committees, Host Club, Sponsors or any other organization or official) with respect to personal injury or property damage suffered by my crew or me as a result of our participation in this event, whether on the water or on shore, and I hereby release the race organizers from any liability for such injury or damage to the fullest extent permitted by law. 4) I have taken all necessary steps to ensure that my crew and I and my entered boat are adequately prepared for all possible contingencies, including appropriate safety equipment as may be required by law or that a prudent seaman would consider advisable. 5) I will inform all crew members of their need to digitally sign this waiver, too, and have them go to the following address to execute that agreement: https://www.surveymonkey.com/s/Winter_Cup_Crew_Waiver I agree to be bound by all rules that govern this event. I agree with and digitally sign/accept this waiver I do not agree to this waiver PAY ENTRY FEE HERE $50.00 if entry form is received electronically prior to 1600 on February 26, 2016, $75.00 if received after such time. Entry fees can be paid via PayPal: click here Thanks for registering and contact me directly if you have any questions:ButtonsEd "Buttons" PadinViper 640 Class Administratorepadin@padesta.com914-834-8286 Done