9th and 10thFebruary 2018
To be completed and submitted to the Race Secretary by not later than 18h00 on Monday 5 February 2018.
ENTRY FORM
Name of yacht ______Sail No. ______
Owner/s ______Club ______
Skipper/s ______Club ______
Address ______
______Code ______
Tel No.: ______Mobile ______Email______
Skippers’ Qualifications ______
Fleet Category (Refer to the Notice of Race) ______
Yacht Details: Class ______Design ______
ORC Coastal ToT/ Texel (Multihulls) ______IRC Cert. No ______.
Crew No. ______
LOA ______Beam ______
(Entry Fee: R400.00 p/yacht plus R200 per person competing (Crew List submitted), late entry R500.00 per yacht plus R250.00 per person competing.
I have read and agree to be bound by the Notice of Race of the Mykonos Offshore Regatta 2018, the World SailingRacing Rules2017 - 2020. I understand and acknowledge that with this entry, I will sail entirely at my own risk, that the onus on whether to start a race and to continue racing lies entirely with the skipper and that none of the organisations or persons concerned in the running of the race accept any liability for damage or injury, material or personal, incurred during the race or any other time, however arising.
______
Signature: Owner / Skipper on behalf of all on board.Date
The entry fee is payable to Royal Cape Yacht Club and shall be posted, delivered or paid directly into Royal Cape Yacht Club’s Bank account and a copy of the deposit slip be faxed to:The Race Secretary, Mykonos Offshore Regatta
P O Box 772, Cape Town, 8000 Tel.: (021) 421-1354 Fax: (021) 421-6028 E-mail:
Bank Details:First National Bank, St George’s Mall, Cape Town Branch No. : 201309Account No.: 500 500 45316
MYKONOS OFFSHORE REGATTA
9th and 10th February 2018
LIABILITY, WAIVER, CLAIMS,
EXPRESS ASSUMPTION OF RISK & INDEMNITY FORM
ASSOCIATED WITH MYKONOS OFFSHORE REGATTA AND RELATED ACTIVITIES
I, the undersigned ______in my personal capacity and on behalf of the owner/s of the
Yacht ______(hereinafter) referred to as “the Yacht”) freely accept and expressly assume all risk, danger and hazards that may arise from my participation and the participation of the yacht in the 2018 Mykonos Offshore Regatta which could result in personal injury, loss of life and damage or loss to property and to the yacht itself.
RELEASE OF LIABILITY, WAIVER OF CLAIMS & INDEMNITY
In consideration of my and the yacht’s participation in the 2018 Mykonos Offshore Regatta, as well as the use of the facilities, moorings, crane and other equipment, provided and/or organised by the Royal Cape Yacht Club and/or Club Mykonos, I hereby undertake as follows:
- To waive, release and indemnify the Royal Cape Yacht Club and/or Club Mykonos against any and all claims, however arising, and specifically but not limited to the involvement of the yacht in the 2018 Mykonos Offshore Regatta, use of all facilities, moorings, crane and other equipment provided by the Royal Cape Yacht Club and/or Club Mykonos, for any loss or damage resulting from bodily injury, loss of life or loss or damage to the yacht or property.
- To release the officials, directors, employees, representatives, agents and volunteers of either the Royal Cape Yacht Club and/or Club Mykonos, from any liability and responsibility, whatsoever, for any claims or causes of action that I, my estate, heirs, executors or assigns or owner/s of the yacht may have for personal injury, damage or loss to property or wrongful death arising from my participation and the participation of the yacht in the 2018 Mykonos Offshore Regatta, arising from any cause whatsoever.
- By executing this document, I, in my personal capacity and on behalf of the owner/s of the yacht, agree to hold the Royal Cape Yacht Club and/or Club Mykonos and/or any persons set out in paragraph 2 above, harmless for any injury or loss of life or damage to property, which may occur directly or indirectly in connection with my participation and the participation of the yacht in the 2018 Mykonos Offshore Regatta and indemnify them against any and all claims which may arise in this regard.
- By signing this undertaking, I am not relying on any verbal or written representation or statement made by the Royal
CapeYacht Club and/or Club Mykonos and/or any persons set out in paragraph 3 above, other than what is set forth herein.
- If any provision of this undertaking is found to be unenforceable or invalid, that such provision shall be severed from
this contract the remainder of this undertaking will therefore be construed as though the unenforceable provision
had never been contained in this document
I hereby declare that I am competent and duly authorised to sign this undertaking.
I HAVE READ THIS UNDERTAKING, UNDERSTAND THE TERMS, CONSEQUENCES THEREOF AND AGREE TO BIND MYSELF AND THE OWNER / THE YACHT THERETO.
Signed: ______Date: ______
Signed: ______Date: ______AS WITNESS: