Here’s the application for the regatta. You can either print it out, or just write all the required info on a piece of paper and send it in with your check. Friday Happy Hour, Saturday Cookout and Bunker Breakfasts are included.

The Bunker Inn is filling up fast. The Caribou Inn is offering a land yacht special of $99.oo. Just mention that when you call to book. They won’t accept it if you book online.

Chickawaukee Ice Boat Club
LORING LANDSAILING FALL REGATTA APPLICATION

First Name ____________________ Last Name ______________________________________________

Address; Street ______________________________ City _____________________________________

State ________ Zip Code ______________ On Site Cell Phone # ________________________________

DOB __________________ Skipper Weight (lbs) ____________ Sail Number _______________________

EMAIL ADDRESS ___________________________________________________________________

Fees:

$75/entry if paid for by AUG 15, 2021 (postmarked) // $100/entry if paid for after AUG 15 2021
Send this entry form and payment to: Bill Buchholz, 31 Gosses Hill Rd., Camden, ME 04843

Emergency Contact Information:
Name ________________________________________________
Relation______________________________Phone/Cell#_____________________________________

Class: Blokart _____ Unlimited _____ (if Unlimited/type of boat:) __________________________

ALL PARTICIPANTS MUST WEAR AN APPROVED HELMET. ALL PARTICIPANTS MUST ATTEND THE SKIPPERS MEETING AND SAFETY BRIEFING BEFORE SAILING. ALL BLOKART SAILORS MUST USE THEIR SEAT BELT WHEN SAILING AND PLEASE LAY DOWN YOUR BLOKART WHEN NOT SAILING.

WAIVER: Competitors participate in this event entirely at their own risk. The Organizing Authority will not accept any liability for material damage or personal injury or death sustained in conjunction with, prior to, during, or after the series. In signing this waiver I am stating that I have read it and understand it.

Signature / Participant:__________________________________________ Date:___________

Parent / Guardian:_____________________________________Relationship:_______________