2006 Lake Pontchartrain Racing Circuit
P.O. Box 2678
Mandeville, LA 70470-2678

Race Entry Form

(MUST BE SIGNED TO BE VALID)

Name of Boat____________________________________________________________

Skipper’s Name__________________________________________________________

Address________________________________________________________________

             ________________________________________________________________

Phone (H)___________________(W)___________EMAIL_______________________

Make of Boat______________________________LOA______________

Sail #____________________PHRF Rating________PHRF Certificate#______________

Check one of the following fleets/divisions

Spinnaker: __________

Non-Spinnaker: __________

Yacht Club/Sailing Assn_________________Home Port__________________________

Entry Fee:    $125.00 (Make check payable to LPRC)
                    $150.00 after October 17, 2006

                    $175 after October 24, 2006

USSAILING #__________________ (USSAILING Members $5.00 discount)

Each competitor is responsible for his/her own safety. Moreover, each skipper is responsible for the seaworthiness of their yacht. It shall be the sole responsibility of each skipper to decide whether or not to start or to continue to race. The skipper accepts this responsibility by entering the race.

I agree to be bound by the racing rules of sailing and by the other rules that govern this event.

Signature________________________________________Date___________________