Bermuda 1-2

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Race

* Don't add or change the choices in this field. Races are managed in "Races" on the left. *

Series	NYC Member	Non-member
Warm-up Series	NA	NA
Summer Series1	NA	NA
Summer Series 2	$90	$100
Ensign Class	$90	$100
Subtract 10% from total for US SAILING members. Add $25 Late fee if registering after 7/14.

Your Information

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Above address should be the Billing Address for your Credit Card.

Email*

Home Phone

Work Phone

Cell Phone*

Opt in to receive text messages about racing. e.g. "Race Canceled"

I am a US Sailing member

US Sailing membership #*

Newport Yacht Club Member?*

Yes
No

Newport Resident?*

Yes
No

Entrant Age*

Adult
Junior (14-21) & members of Rogers Sailing Team

Skipper's Age*

Age at the start of the Race.

Please enter a number from 16 to 93.

New Skipper?*

New Skipper
Past Skipper

Skipper Sailing Resume*

Emergency Contact

Emergency Contact Name*

First Last

Emergency Contact Home Phone*

Emergency Contact Work Phone*

Emergency Contact Cell Phone

Race Information

Our Team Will Race*

I will participate in the Spring warm-up series

Cruising Class*

Do you want to register for cruising class (Class IV)? (reserved for non-racers)

No
Yes

Co-Skipper Information

Co-Skipper Name*

First Last

Co-Skipper Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Co-Skipper Email*

Co-Skipper Home Phone

Co-Skipper Work Phone

Co-Skipper Cell Phone

Co-Skipper's Age*

Please enter a number from 16 to 90.

New Co-Skipper?*

New Skipper
Past Skipper

Co-Skipper is Immediate Family Member*

Yes
No

Husband, Wife, Son, Daughter, Father, Mother

Crew Information

Crew Name*

First Last

Crew Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Crew Email*

Crew Home Phone

Crew Work Phone

Crew Cell Phone*

Crew Age*

Age at the start of the Newport to Bermuda leg.

Please enter a number from 16 to 90.

Crew New*

New Entrant
Past Entrant

Crew is Immediate Family Member*

Yes
No

Husband, Wife, Son, Daughter, Father, Mother

Crew Sailing Resume*

Boat Information

Boat Name*

Boat Model*

i.e. Cape Dory 27, Pearson 30, etc.

Sail Number

Race Number Request*

Rig*

Sloop/Ketch/Cutter/etc.

LOA*

In Feet

Hull Color(s)*

Deck Color(s)*

Sponsorship Name (if any)

Team Name

required for Sail Newport J/22 Class

How many crew, guest and children (exclude children under 13) including skipper?*

Please enter a number from 1 to 99.

One-design Class*

New England Solo Class*

New England Twin Class*

Indicate spinnaker or non-spinnaker

spinnaker
non-spinnaker

PHRF Spinnaker Rating

PHRF Non-Spinnaker Rating

PHRF-NB certificate*

I have a certificate
I will send later

PHRF*

Current year PHRF-NB Certificate

Max. file size: 64 MB.

After submitting this form, you will be need to fill out the boat description form.

Waiver

THIS AGREEMENT CONTAINS A RELEASE AND WAIVER READ FIRST

RELEASE, WAIVER AND COVENANT NOT TO SUE.

The undersigned acknowledges that in consideration of the efforts of the Newport Yacht Club, for being allowed to participate in these races and the acceptance of this application to race, HE DOES HEREBY WAIVE AND RELEASE ANY AND ALL CLAIMS THE UNDERSIGNED MAY HAVE AGAINST THE NEWPORT YACHT CLUB, ITS OFFICERS, DIRECTORS, OR TRUSTEES AND ITS COMMITTEE MEMBERS, MEASURERS, JUDGES, AGENTS AND REPRESENTATIVES ARISING OUT OF THE ACTIVITIES REQUIRED FOR THE RACES ON THE WATER, AND DOES FURTHER COVENANT AND AGREE NOT TO SUE OR TO BRING ANY CLAIM OR CLAIMS OF ANY NATURE WHATSOEVER AGAINST THE NEWPORT YACHT CLUB OR ANY OF THE PERSONS AND OFFICES NAMED, OR UNNAMED, ABOVE WHO MAY BE ACTING ON THE NEWPORT YACHT CLUB’S OR ITS/THEIR BEHALF.

I have read the waiver and approve.

Parent or Guardian (required for entrant under 18 years old)*

Payment

Fee

Price: $60.00

US Sailing Discount

Price: $0.00

Non-Newport Resident Fee

Price: $0.00

Late Fee

Price: $0.00

Billing Address*

Same as address above

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Total

$0.00

Newport Yacht Club

2023 Bermuda One-Two

ONLINE REGISTRATION

Your Information

Emergency Contact

Race Information

Co-Skipper Information

Crew Information

Boat Information

Waiver

Payment

END OF FORM