Juana Good Time Regatta

Navarre Beach, Florida

September 7, 8 & 9^th, 2007

For more info: juanaspagodas.com

Registration Form

C heck

all that apply

___Beach Cat ___Co-ed

___Cruiser

Boat Name

Boat Type / Size

Sail #

Rating

Registration Pkgs.

Package includes:

Pre-Register before

Sept 1

Late Register Sept. 2-7

Indicate

Qty./ $

Sailboat Pkg.

2 t-shirts, 2 dinners,

4 breakfasts, beer & trophies

$50

($46.75 fee, $3.25 tax)

$60

($56.10 fee, $3.9 tax)

Extra crew / non racer pkg.

1 t-shirt, 1 dinner,

2 breakfasts & beer

$30

($28.05 fee, $1.95 tax)

$35

($32.15 fee, $2.85 tax)

Send Registration Forms to:		Amount Method Enclosed:___________ of Payment: ___Cash ___Check ___Charge
Juana’s Inc.
1433 Alabama St.		Charge__________________________________________ Exp__________
Navarre Bch, FL 32566
850-939-2130		Date Recv’d: Employee:
Registration fees include 6.5% sales tax.		Date Recv’d: Employee:

Waiver: In consideration of being permitted to enter this regatta and being fully knowledgeable of the risks of sailing as a competitive sport, I agree voluntarily to assume the risk of participation and hold harmless those sponsoring and aiding the Regatta from any liability of any nature whatsoever for any accident or injury to myself, my guest, or my boat. I mutually agree with other contestants to abide by all rules and regulations governing this Regatta. I certify that my boat will be equipped with lifesaving devices required by law, for each person on board, as well as, any other equipment required by USYRU or Class Rules and that no crew member will be allowed to participate unless able to swim. My signature indicates that I have read and agree to this waiver.

Print Skipper’s Name