REGISTRATION FORM
LEUKEMIA CUP REGATTA
KEELBOATS and MULTIHULLS

Online Registrants may send payment to the following address or pay fees upon arrival. Make checks payable to: THE LEUKEMIA CUP REGATTA.

The Leukemia Cup Regatta
The Leukemia & Lymphoma Society
8111 LBJ Freeway, Suite 425
Dallas, TX 75251

Name*:
* Required
Address*:
Address:
City, State ZIP*:
Home Phone*:   Work Phone:
e-mail*:


I would like to receive event updates via e-mail.
    J/22 Multihull One Design Keelboat
    Symmetrical Asymmetrical Non-Spinnaker  
PHRF Rating
Boat Type:  Name & Sail No:
Home Club: US Sailing Number:
Crew Names:
 

Fundraising Goal:

Registration Fee* includes 1 LCR cap. Meals and meal packages may be purchased below.  

Regular - $85* Submitted by April 26

 

Late - $100* After April 26

 
  
$
I would like help preparing an active.com fundraising web page.
 
Meals:  Meal package includes: Sat. breakfast, lunch, dinner; Sun breakfast, lunch. Individual meals can be purchased on site.

Complete Meal and Entertainment Package for adult @ $45

$

Child Weekend Meal Package for one* @ $20

$

Adult Saturday Dinner

$

Child Saturday Dinner

$
 
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.

E-mail us if you need additional information.

Comments:

Introduction  Schedule of Events  Notice of Race  
Registration  Registration Keelboat   Fundraising
Dallas Corinthian Yacht Club   Corinthian Sailing Club
Leukemia & Lymphoma Society