*Name:** * Required
*Address:**
Address:
*City, State ZIP:**
*Home Phone:**	Work Phone:
*e-mail:**	I would like to receive event updates via email.

Boat Class:	Sail No:
Home Club:	US Sailing Number:
Crew Names:
	Fundraising Goal:


Registration Fee * includes 2 LCR caps and 2 meal passes ** includes one LCR cap and 1 meal pass
Regular - Submitted by April 13 Crewed - $130* Single-handed - $70**
Student (18 and under) - $40** Late - After April 13 Crewed - $150* Single-handed - $80**
			$
I would like help preparing an active.com fundraising web page.
*Meals* that I have noted below are in addition to those included with registration or that I have earned through fund raising:
Complete Meal and Entertainment Package for adult @ $45			$
Child Weekend Meal Package for one @ $20			$

Adult Saturday Dinner @ $20			$
Child Saturday Dinner @ $10			$

TOTAL			$

*ASSUMPTION OF RISK: By participating in this regatta, each boat owner, skipper and crew agrees to sail and to use Corinthian Sailing Club's facilities and/or Dallas Corinthian Yacht Club's facilities at his or her own risk. To the fullest extent permitted under Texas law, each boat owner, skipper, and crew unconditionally and irrevocably release and discharge Corinthian Sailing Club, Dallas Corinthian Yacht Club and The Leukemia and Lymphoma Society, their officers and all other persons who lend boats or equipment, or who assist in maintaining equipment or in organizing and conducting races from all claims and legal liability for personal injury, death or property damage incurred in connection with the regatta and caused by negligence.

Fundraising Goal: