co Breck Caine

100 Cedar Ave

North Myrtle Beach, SC 29582-3162

2015 GOVERNOR’S CUP Registration



City______________________________________State_______ Zip______

Phone _______________________________ Cell _____________________

E-Mail ________________________________________________________

Boat Name/Number ____________________________________________

Boat Model / Manufacturer ________________________________________

LWL/LOA __________________ Beam____________  Draft ____________

I hereby register my boat for the 2015 Governor’s cup regatta. I assume all risk of accident and expressly agree that the club, its officers, agents and /or employees shall not be liable under any circumstances, for any loss or injury to participants, guest , and others or for the loss or damage to any yacht and the undersigned hereby further agrees to indemnify and hold the club, its officers, gents, and/or employees free and harmless under, from and against any and all losses, costs, damages, attorney’s fees, and liability of any kind  or nature  whatsoever growing out of or resulting  from participation in races, cruises or any activities sponsored by the Long Bay Association.

Boat entrée fee :        The entry fee for the regatta is $20.00 for members and $40 non-members of LBSA or boats that have not paid for the full season. The fee includes the admission to the awards presentation and party. there will be lots of burgers, dogs, and fixings for the captain and his entire crew – BYOB.  

SIGNATURE _______________________________ date _________


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