Regatta of Lights Boat Registration Form

Note:  Be sure to click SUBMIT when you've finished.

Boat Name:

Registration #:

Boat Make & Model:

Length:

Color:

Home Port :

Sail/Power/Commercial:

USCG Required Equipment, VHF Radio, Life Jackets for Crew:

Owner's Name:

Phone Number:

Cell Number:

Emergency No:

Emergency Contact:

Captain's Name:

Email Address:

Boat Docked At:

Mailing Address:

By officially entering the 31st annual Holiday Regatta of Lights, I hereby fully understand and agree that my participation is voluntary and at my own risk.  I hereby agree to hold

harmless the host, sponsoring associates, and businesses for any personal injury or

property damage which I may cause in any way, or which may be occasioned on me, those on my vessel, or to my vessel.  Signified by checking the I accept block below.

SailPowerCommercial

YesNo

I Accept