Registration

Rocky Mountain Buccaneer Rodeo Registration

September 1-2, 2007

Heron Lake State Park, Los Ojos, New Mexico

Skipper: __________________________________________

Address: __________________________________________

City: ___________________ State ____ Zip _____________

Phone: ______________ _______________ _______________
. . . . . . . . (home) . . . . . . . (office) . . . . . . . . . . (cell)

E-mail/web: ________________________________________

Birthdate (required if born after January 1, 1989): ________

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Crew name(s): __________________ ___________________

Birthdate (required if born after January 1, 1989): ________

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Boat name ___________________ Sail Number ___________

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Special Information

Please list any allergies, diet restrictions, special medical concerns,
or needs for you, your crew, or members of your traveling party.

___________________________________________________

___________________________________________________

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Optional: I am a member of ...

____ Buccaneer Class Assn. ____ BCA Associate Member

____ US Sailing ____ SAIL ____ SCYA _____ YRUSC

____ Sailing Club, Yacht Club, or other boating organization:

____________________________________________________

Other special features of my crew or boat:

____________________________________________________

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Regatta Fee: $30.00 per boat, cash or check to

New Mexico Sailing Club,
PO Box 1795
Bernalillo, NM 87004

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Agreement and Signature:

I agree to be bound by the Racing Rules of Sailing, the Notice of Race
and Sailing Instructions for the Rocky Mountain Buccaneer Rodeo, and
applicable local, state, and federal regulations.

I acknowledge that I am responsible for deciding whether to launch,
start, or continue in an event at this regatta, and I acknowledge my
responsibility for ensuring that myself, crew, and boat are seaworthy
for conditions that may be encountered during this regatta.


_____________________________________________________

(parent or guardian must also sign for a minor)