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|
Mumm 30 Circuit Event
2006 Melges 24 Gold Cup
Presented by Boston Meridian Merchant Banking
Online Registration
The following forms must be submitted before registration is considered complete.
Printable Crew Waiver
Minor Medical Waiver
General Information:
Name (first/last):
Address Line 1:
Address Line 2:
City, State, Zip:
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indian Territory, Oklahoma
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Is.
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
---CAN
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
---AUS
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
---AUT
Bohemia
Bosnia and Herzegovina / Bosna i Hercegovina
Bukovina
Burgenland
Carinthia / Karnten
Carniola / Krain
Dalmatien / Dalmatia
Galicia / Galizien
Illyria
Istria / Istrien
Lombardy
Lower Austria / Niederosterreich
Mahren / Moravia
OberAusterreich / Upper Austria
Salzburg
Schlesien / Silesia
Steiermark / Styria
Sudetenland
Sundgau
Tirol / Tyrol
Veneto
Vienna / Wien
Vorarlberg
---CHE
Aargau
Appenzell (Ausser Rhoden)
Appenzell (Inner Rhoden)
Basel-Landschaft / Basle (state)
Basel-Stadt / Basle (city)
Bern/Berne
Freiburg / Fribourg
Geneva / Geneve / Genf
Glarus
Graubunden / Grisons
Jura
Lucerne / Luzern
Neuchatel / Neuenberg
Nidwalden
Obwalden
Saint Gall / Sankt Gallen
Schaffhausen
Schwyz
Solothurn
Tessin / Ticino
Thurgau
Uri
Valais / Wallis
Vaud / Waadt
Zuerich / Zurich
Zug
---CHI
Alderney
Guernsey
Jersey
Sark
---CSK
Sudetenland
---DEU
Alsace
Alsace-Lorraine
Anhalt
Anhalt-Bernburg
Anhalt-Dessau
Anhalt-Kathen
Baden
Baden-Wurttemberg
Bavaria / Bayern
Berlin (Land in Bundesrepublik)
Berlin, Stadt (city)
Brandenburg
Braunschweig / Brunswick
Breisgau
Bremen
East Prussia
Franconia / Franken
Frankfurt/Main
Hamburg
Hannover / Hanover
Hesse / Hessen
Hesse-Darmstadt / Hessen-Darmstadt
Hesse-Kassel/Electorate of Hesse / Hessen-Kassel / Kurhessen
Hessen-Homburg
Hohenzollern
Holstein
Launberg
Lippe-Detmold
Lorraine / Lothringen
Lower Saxony / Niedersachsen
Lubeck
Mecklenburg
Mecklenburg-Hither (Western) Pomerania /
Mecklenburg-Schwerin
Mecklenburg-Strelitz
Nassau
Nordrhein-Westfalen / North Rhine-Westphalia
Oberpfalz / Upper Palatinate
Oldenburg
Palatinate / Pfalz
Pomerania / Pommern
Posen / Pozna'n
Preusen / Prussia
Reuayaltere Linie / Reuay Greiz
Reus
Reus jungere Linie (Reus-Ebersdorf, -Lobenstein, and -Schleiz)
Rheinland / Rhineland
Rheinland-Pfalz / Rhineland-Palatinate
Saarland
Sachsen (Kgr. / Land in Bundesrepublik) / Saxony (Kingdom/State)
Sachsen (Provinz) / Saxony (Prussian Province)
Sachsen-Altenburg / Saxe-Altenburg
Sachsen-Anhalt / Saxony-Anhalt
Sachsen-Coburg und Gotha / Sachsen-Coburg-Saalfeld
Sachsen-Gotha-Altenburg / Saxe-Gotha-Altenburg
Sachsen-Hildburghausen / Saxe-Hildburghausen
Sachsen-Meiningen / Saxe-Meiningen
Sachsen-Weimar / Saxe-Weimar
Schaumburg-Lippe
Schlesien / Silesia
Schleswig
Schleswig-Holstein
Schwarzburg
Schwarzburg-Rudolstadt
Schwarzburg-Sondershausen
Sudetenland
Thuringen / Thuringia
Waldeck / Waldeck und Pyrmont
West Prussia
Westfalen / Westphalia
Wuerttemberg
---DNK
Holstein
Launburg
Schleswig
Schleswig-Holstein
---ENG
Avon
Bedfordshire
Berkshire
Buckinghamshire
Cambridgeshire
Cheshire
Cleveland
Cornwall
Cumberland
Cumbria
Derbyshire
Devon or Devonshire
Dorset
Durham
East Anglia
East Riding
East Sussex
Essex
Gloucestershire
Hampshire / Hantshaving
Hereford and Worcester
Herefordshire
Hertfordshire
Humberside
Huntingdonshire
Isle of Wight
Kent
Lancashire
Leicestershire
Lincolnshire
London
Manchester, Greater
Mercia
Merseyside
Middlesex
Midlands
Norfolk
North Riding
North Yorkshire
Northampton
Northumberland
Nottinghamshire
Oxfordshire / Oxon
Rutland
Shropshire / Salop
Somerset
South Yorkshire
Staffordshire
Suffolk
Surrey
Sussex
Tyne & Wear
Warwickshire
Wessex
West Midlands
West Riding
West Sussex
West Yorkshire
Westmoreland
Wiltshire
Worcestershire
Yorkshire
---FRA
Alsace
Alsace-Lorraine
Lorraine / Lothringen
---HRV
Slavonia
---HUN
Banat
Baranya
Batschka / Batchka / Bacska
Kroatien / Croatia / Hrvatska
Slavonia
Syrmien / Syrmia / Srijem / Szerem
Transylvania
---IRL
Carlow
Cavan
Clare
Connaught
Cork
Donegal
Dublin
Galway
Kerry
Kildare
Kilkenny
Kings / Offaly
Leinster
Leitrim
Leix / Queens / Laois / Laoighis
Limerick
Longford
Louth
Mayo
Meath / Navan
Monaghan
Munster
Roscommon
Sligo
Tipperary
Ulster
Waterford
Westmeath
Wexford
Wicklow
---NIR
Antrim
Armagh
Derry / Londonderry
Down
Fermanagh
Tyrone
Ulster
---NOR
Akershus
Astfold / Ostfold
Astlandet / Ostlandet
Aust-Agder
Buskerud
Finnmark
Hedmark
Hordaland
More og Romsdal
Nordland
Nord-Norge
Nord-Trondelag
Oppland
Oslo
Rogaland
Sogn og Fjordane
Sorlandet
Sor-Trondelag
Telemark
Troms
Trondelag
Vest-Agder
Vestfold
Vestlandet
---ROM
Transylvania
---SCT
Aberdeenshire
Angus / Forfarshire
Argyllshire
Ayrshire
Banffshire
Berwickshire
Bute
Caithness
Central (Scotland)
Clackmannanshire
Dumfries and Galloway
Dumfriesshire
Dunbartonshire
East Lothian
Fifeshire
Grampian
Highland
Inverness-shire
Kincardineshire
Kinross-shire
Kirkcudbrightshire
Lanarkshire
Lothian
Midlothian
Moray
Nairnshire
Orkney Isles
Peebleshire
Perthshire
Renfrewshire
Ross & Cromarty
Roxburghshire
Selkirkshire
Shetland Isles
Stirlingshire
Strathclyde
Sutherland
Tayside
West Lothian
Western Isles
Wigtownshire
---SWE
Alvsborg
Blekinge
Gavleborg
Goteborg & Bohus
Gotland
Halland
Jamtland
Jonkoping
Kalmar
Kopparberg
Kristianstad
Kronoberg
Malmohus
Norrbotten
Orebro / Orebro
Ostergotland
Skaraborg
Sodermanland
Stockholm city
Stockholm county
Uppsala
Varmland
Vasterbotten
Vasternorrland
Vastmanland
---UK
Channel Islands
Isle of Man
---WLS
Anglesey
Breconshire / Brecknockshire
Caernarvonshire
Cardiganshire
Carmarthenshire
Clwyd
Denbighshire
Dyfed
Flint
Glamorganshire/Glamorgan
Gwent
Gwynedd
Merionethshire
Mid-Glamorgan
Monmouthshire
Montgomeryshire
North Wales
Pembrokeshire
Powys
Radnorshire
South Glamorgan
South Wales
West Glamorgan
---YUG
Bosnia and Herzegovina / Bosna i Hercegovina
Kroatien / Croatia / Hrvatska
Macedonia
Montenegro
Serbia
Slovenia
Woiwodina / Vojvodina
---
Other
Residence Phone:
Cell/Business Phone:
Email:
Entry Fees:
Price
Qty
Fee
Total Fee:
Skipper Waiver
By registering for this event, I accept the following statement:
WAIVER OF LIABILITY and ACKNOWLEDGMENT OF ASSUMPTION OF THE RISK
In accordance with section 7-6-22 of the Rhode Island General Laws, entitled "EXEMPTION FROM LIABILITY TO PARTICIPATE IN ATHLETIC SPORTS EVENTS," I hereby release Sail Newport, Inc., its officers, directors, agents, trustees, servants, sponsors, employees and the State of R.I .of any liability for bodily injury to me while I am participating for any contest or exhibition of an athletic or sports nature held by Sail Newport Inc., and hereby acknowledge and assume the risk of any bodily injury to myself while participating in or practicing for any Sail Newport Inc., contest or exhibition either on the water or on shore during this Sail Newport event.
RI GENERAL LAWS OF RI SECTION, 7-6-9 Exemption from Liability
A) No person serving without compensation as a volunteer, director, officer or trustee of a non-profit corporation, including a corporation qualified as a tax-exempt corporation under 501(c) of the United States Internal Revenue Code [26 U.S.C. 501(c)], or of an unincorporated nonprofit organization or an unincorporated public charitable institution qualified as a tax exempt organization under section 501(c) of the United States Internal Revenue Code, shall be liable to any person based solely on his or her conduct in the execution of such office or duty unless the conduct of such director, officer, trustee, or volunteer with respect to the person asserting such liability constituted malicious, willful or wanton misconduct. As used in this section, "compensation" does not include a per diem or per meeting allowance, health insurance benefits or reimbursement for out of pocket costs and expenses incurred in such service. Nothing herein shall be construed to exempt a volunteer from liability based upon his or her ownership and/or operation of a motor vehicle.
(B) Officers, directors, agents, servants, volunteers, and employees of a corporation shall not be liable for bodily injury to any person incurred while such person is practicing for, or participating in, any contest or exhibition of an athletic or sports nature sponsored by the corporation; provided such person has, or in the case of a minor, a parent or guardian of such minor has, signed a written waiver of liability of the corporation and acknowledgment of assumption of risk with respect to such practicing for, or participating in, any contest or exhibition of an athletic or sports nature sponsored by the corporation.
PHOTOGRAPHIC RELEASE:
I grant Sail Newport the right to use my name, age and photograph, and/or video without compensation, in any press release, web site posting, advertisement, brochure or other medium intended to publicize regattas or Sail Newport.
I understand that by completing this form I am creating a legally binding document and agree to be bound by the laws of R.I. where I will participate in a Sail Newport event. Please consult legal advice for further clarification. Do not proceed with this form if you are not in agreement with its terms.
Click above photo for Newport info!
Sail Newport - 60 Fort Adams Drive - Newport, Rhode Island 02840 - 401-846-1983 -
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