Registration Form
For the
Albemarle Challenge Cup Regatta

This form must be delivered to the host your club’s fleet captain by the Friday 1 week prior to the event.
Registration form must be filled out completely. The race committee is not responsible for the score of a boat if
form is incomplete. This form can be filled in and printed on your computer.

FEE: $30.00 (includes one meal ticket)
DUE: 1 week prior to regatta (fleet captain must provide club’s participating boat list to host club on this date)


First Name: Last Name
Boat Name: Sail No:

Division (Check one):

Spinnaker Non-Spinnaker A Non-Spinnaker B Cruising
  (PHRF rating 199&below) (PHRF rating 200&above)  

PHRF Rating : Boat Make: Length: Club:


City: State: Zip:

Home Phone: Work Phone: Cell Phone:


Lien Waiver

This Regatta will be governed by the International Yacht Racing Rules, the prescriptions of USYRU, including the prescription
to rule 76.1. The undersigned hereby assumes all risk of accident and expressly agrees that the CYC will not be liable, under
any circumstances, for loss or injury to participants or others, loss or damage to any yacht. The undersigned further agrees to
indemnify and hold the CYC and its officers free and harmless under, from and against any and all losses, costs, damages,
attorney’s fees and liabilities of any kind or nature whatsoever, growing out of or resulting from participation in this event.


Please check appropriate box: Owner Skipper

No. Meal Tickets No. T-Shirts: S M L XL XXL

Entry fee will be returned if unable to attend.