ENTRY FORM MONDAY NIGHT MADNESS!! FAX to SAIL NEWPORT 401-846-7245 A Youth and Adult Dinghy Racing Night Sponsored by The Boat Locker Monday Evenings starting June 30 and ending August 11th. Class __________________ Boat Name_______________________________ Sail # ________________ YOU MUST SAIL WITH THE SAME SAIL # EACH NIGHT Skipper _______________________________________________ Crew__________________________________________________ Address _____________________________________________________________ City___________________________State___________Zip________________ Bus. Phone( ) __________________ Home( )______________________ Email address________________________________ ___ Opti Red White and Blue..........$15 ___ Laser Radial...........................$15 ___ Laser Full Rig..........................$15 ___ C 420....................................$30 ___ Adult Laser Full Rig.................$25 ___ Adult Vanguard 15..................$40 CC # ________________________________________exp:_____________ Please make checks payable to Sail Newport: MONDAY NIGHT MADNESS c/o Sail Newport, Inc. 60 Fort Adams Dr. Newport, RI 02840 All parents or legal guardians must sign waiver of liability before the child may race in this series INSTRUCTOR APPROVAL: The above Youth Skipper (and crew) have been qualified to race the above listed boat for this series. Instructor’s Name___________________________________Yacht Club________________ Instructor Signature___________________________________Date________________________ YOUTH PARTICIPANTS: Mail or FAX This Entry Form, and Waiver to: MONDAY NIGHT MADNESS c/o Sail Newport, Inc. 60 Fort Adams Dr. Newport, RI 02840 FAX 846-7245