Next Regatta:

Online registration

Please complete all the fields below. Those marked with an * asterisk are mandatory.


The real Hero of the Leukemia Cup Regatta is the team that raises the most money for the Leukemia and Lymphoma Society. Winning races is fantastic, but nothing beats knowing you played a part is helping someone win their race for life. A LLS-provided fundraising page will be created for you with this registration.



SKIPPER/OWNER DATA
AYC Member?

Skipper's Name: (* required): Skipper's Address (* required): City (* required)?: State/Province?: Zip/post code?: Country?: Telephone: Cellular Phone: Email Address (* required): Date of Birth?: Club affiliation (other than AYC)?: Emergency Contact Name: Emergency Contact Relationship: Emergency Contact Phone:
BOAT DATA
Builder (* required): Year built (* required): Boat model (* required): Boat Name (* required): Sail Number (* required): Hull Color: Spinnaker color: Preferred Fleet: Your PHRF HANIDCAP or PORTSMOUTH (if known)
Insurance
Modifications?

CREW DATA
Crew Name #1: Crew Email #1: Crew Name #2: Crew Email #2: Crew Name #3: Crew Email #3: Crew Name #4: Crew Email #4 Crew Name #5: Crew Email #5:
3 DAYS OF FUN, FRIENDS AND SAILING.
Leukemia Cup Regatta (* required)


Note- all entry fees are donated to the LLS after base regatta costs are deducted.
-3 day Regatta entry incudes a 3 day pass to Pleasant Harbor (Thurs PM – Sun PM) (Value $24.00)
-3 day Regatta entries: After completing your registration and payment, visit LUNCH ON THE LAKE - a $20 credit will be applied to your lunch order.

PAYMENT:

The payment must to be made using PayPal/Credit Card after you submit this order.

REGISTRATION and PAYMENT MUST BE RECEIVED BY NO LATER THAN FEBRUARY 12, 2017 AT 9.00 PM. A LATE FEE of $25.00 will be added from after 9.00 pm Feb 12 to Feb 17, 2017. If you do not use PayPal or Credit cards, please contact us for other arrangements.


LEUKEMIA CUP REGATTA FUND RAISING PAGE:

The Leukemia Cup Regatta is not just a sailing event - It is a unique opportunity for you to help us raise money for the Leukemia and Lymphoma Society and help them help those fighting blood cancers.A personal LLS/LCR fund raising page will be created for you upon receipt of this entry form and details sent to you by email. Please - Raise any amount you can. Thank you!


BEFORE YOU SUBMIT:

Competitors participate in the regatta entirely at their own risk. See rule 4, Decision to Race. The Arizona Yacht Club will not accept any liability for material damage or personal injury or death sustained in conjunction with or prior to, during, or after the event.
I have taken all necessary steps to ensure that myself, my crew and the entered boat are adequately prepared for all possible contingencies, including liability insurance and the appropriate safety equipment as may be required by law or that a prudent seaman would consider advisable.

After payment has been made, there are no refunds/cancellations

If you have any questions, please ask before submitting and paying your entry fee


© Copyright Arizona Yacht Club/Leukemia Cup Regatta Committee 2016-2017