Entry Form

Greenport Classic Yacht Regatta

September 22nd, 2012

Date _____/_____/___________

Yacht Name _______________________ Designer ___________________ Length________ ft

Sail # ___________ Hull Color ________________ Hull Material _____________________

Owner/Skipper_________________________________________

Address________________________________________________

City ________________________________ State ________ Zip ____________

Bus. Phone ( ) ______-_____________ Home Phone ( ) ________-____________

E-Mail Address _______________________________________________________

I agree to be bound by the racing rules of sailing and by all other rules that govern this event,

and certify that my yacht conforms to all class rules that apply. We also are requesting all entrants have appropriate insurance coverage. By signing below you are indicating appropriate coverage. We cannot

accept entries without this signature.

Skipper's Signature________________________________ Date__________________

ENTRY FEE: $65 for members of U.S. Sailing, $70 for non-members.

Skipper/Owner U.S. Sailing Member #________________

Appropriate Entry Fee $________

Please make check payable to: Greenport Classic Yacht Regatta

And mail to same at: PO Box 529 Greenport, NY 11944

Please be sure to include your valid Classic Racing Formula certificate!