Skipper ______________________________________________
Address _______________________________________________
City____________________________ State _____ Zip __________
Phone ______________________(H) __________________________(cell)
E-Mail __________________________________________________
Crew Name ______________________________________________
Boat #________________ Boat Name__________________________
Special Awards Eligibility (please check if applicable)
Master’s (skipper born prior to August 24, 1957) ___

Junior (skipper born after August 24th, 1988) ____Parent-Child Team _____
Long Distance (distance traveled to regatta _______
Release From Liability
The undersigned releases the International Penguin Class Dinghy Association, the Tred Avon Yacht Club and their respective Officers, and the Race Committee from any liability for personal injury or illness or property damage or loss resulting from or incidental to my participation in any aspect of this event. My participation is voluntary. My equipment is in safe condition. To the best of my knowledge, I am physically well enough to participate safely. I agree to be bound by The Racing Rules of Sailing, and by all other rules that govern this event.

_____________________________  __________       _________________  _______
Skipper                                    Date                 Crew                    Date

International Championship                  $100                                      
Junior                                                        $60
 

Entry forms with the appropriate registration fee payable to the IPCDA should be mailed to:
Penguin Internationals c/o 8300 Waverly Rd., Owings, MD 20736