Sailboat Registration Form

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Ketchikan Yacht Club
SAILBOAT RACING VESSEL ENTRY FORM

Boat Owner/Skipper Name___________________________________________________________

Address________________________________________________________________________

Phone(s)________________________________________________________________________

E-mail__________________________________________________________________________

US Sailing Member#________________________

Ketchikan Yacht Club member since___________

Boat Name________________________________________________ Sail #___________________

Manufacturer______________________  Model/Class_______________________ Year Built _______

Length Overall___________ Waterline Length_______________ Maximum Beam_________________

Ballast Displacement_______________________

Keel Type: Fixed________________

Engine: Inboard_________________Outboard___________________None______________________

Propeller: # of blades___________Fixed_____________Folding____________Feathering____________

SAILS: NOTE: Use of sails not declared will result in DSQ.

Materials used:  _____________________________________________________________________

Size of largest genoa__________________________ %J  Type of rig: _____________________________

Spinnaker: Symmetric________________        Asymmetric_____________

Declare sails that you will use for this race season: ______________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Modifications: Unmodified class boat_____ Modified class boat_____ Custom (Non class boat)_________

Describe modifications:_________________________________________________________________

__________________________________________________________________________________

For ALL BOATS:

VHF Radio on board?  ____________________If yes, call sign ____________________________________

CURRENT COPY OF US Sailing Racing Rules of Sailing 2013-2016 on board? _______________________

BOAT INS CO Name:___________________________________ POLICY #_________________________

FEES:

In Advance: KYC Member  $_125.00_______          Non Member Sailing Boat  $ __550,00______

TOTAL FEES PAID __________________________________________________DATE_______________

Fees paid by check #________________________cash__________________________________________

Vessel Owner Signature:______________________________________________________Date__________

Ketchikan Yacht Club
Box 6694, Ketchikan, AK 99901
907.225.3262

PHRF-NW Assigned RATING:_____________

Rev 1/22/2014