Entry Form

10th Annual FOMA Frolic

Clearwater to Anclote and return

Saturday, April 26, 2008

 

Boat Name_________________________________Length Overall (LOA)__________

 

Class _____________Rating (attach certificate) ___________Sail #_____________

 

Skipper’s Name_________________________________________________________

 

MAILING ADDRESS:

 

Street__________________________________________________________________

 

City___________________________________ST_______ZipCode_____________

 

Home Phone ___________________________

Work Phone  ___________________________

Cell Phone ­­­­­­_____________________________

Email­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­__________________________________________________________________

 

Sailing Club_____________________________________________________________

I hereby release the Florida Offshore Multihull Association (FOMA) and the race committee from any and all liability, claims, demands, obligations, expenses, actions and causes of action whatsoever against them as a result of participation by the undersigned in this event,

 

Signed this _____________________________________________day of

______________________2008

 

Skipper/Owner Signature________________________________________________________________

 

 

Entry fee of $30 must accompany this form

Checks should be made payable to FOMA or Florida Offshore Multihull Association and must be received by April 19, 2008.

Send this entry form and rating certificate, if any, along with your check to:

Sid Zipperrman, 2700 Bayshore Blvd, Unit 9209, Dunedin, Fl, 34698

Questions to Sid at (727) 736-9462 or (727) 422-0116