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Parade Registration

2012 South Haven Dinghy Parade Registration Form

Parade Registration

	2012 South Haven Dinghy Parade Registration Form To be Completed and Electronically Signed by Captain

Dinghy Theme:
Captain's First Name:
Captain's Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Daytime Phone:
Evening Phone:
List all Crew Members:




Liability Release and Waiver:	I/We hereby agree to hold harmless and release from any and all liability all organizers, sponsors, participants, spectators or anyone directly or indirectly involved in this activity. This Release and Waiver is for personal injury (including death) and property losses and/or damage occasioned by or in connection with this event. The Captain and Crew herein named further agree to abide by all rules and regulations of this event as well as all local, state and federal ordinances and laws.

	Check here to accept - Required (Indicates Captain's Electronic Signature for the Captain and Crew)
Accepted By:
Date:
Email:
Comments:	Enter comments here:

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