Online Registration

If you have previously registered, but haven’t paid yet, you can pay online through Paypal by clicking here

Boat Name *

Sail Number *

Owner's Name *

Address

Work Phone

Home Phone

Cell Phone (format 1234567890) *

Owner's Email *

Co-Skipper

* In order for a Co-Skipper or any other crew member to helm during the Shields National Championship, that person or persons shall be a registered "Associate Member" of the Shields National Class Association. You are also encouraged to register any other crew as Associate Members of the Class. Both Co-Skippers and Associate Members require an additional fee of $15 to be provided upon submitting registration dues to Shields Fleet 9. Please refer to Shields National Class membership rules for further information.

Address

Work Phone

Home Phone

Cell Phone

Section II

Section II – REQUIRED DUES (as per National Class Rules)

All Shields yachts MUST be registered with the National Assoc. and be a member of Fleet 9.

All owners and co-skippers MUST be active members of the National Assoc. and Fleet 9.

Required dues are payable to Fleet 9 no later than Noon May 1, 2024.

A $50 LATE FEE will be enforced for Registrations received thereafter.

Section III - LIABILITY INSURANCE

All information in this section is REQUIRED

Liability Insurance Carrier: *

Current Policy Number: *

I hereby certify that the above information is true and accurate to the best of my knowledge. I understand that myself / my yacht must carry liability insurance to be eligible to compete and will not be scored without this complete information. *

Agree

Signature *

Date *

Section IV

Section IV - CREW INFORMATION

Crew #1

Address

Work Phone

Home Phone

Crew #2

Address

Work Phone

Home Phone

Crew #3

Address

Work Phone

Home Phone

Crew #4

Address

Work Phone

Home Phone

Section V

To the fullest extent permitted by law, I hereby waive any rights I may have to sue the race organizers (organizing authority, race committee, protest committee, host club, sponsors, or any other organization or official) involved with the event with respect to personal injury or property damage suffered by myself or my crew as a result of our participation in this event and hereby release the race organizers from any liability for such injury or damage.

Signature *

Date *

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Section II

Section IV

Section IV - CREW INFORMATION

Section V

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