7/30/2019 2013 Women's Sailing conference Registration form.

1/1

Merchandise Order Form ITEM PRICE QTY TOTAL AMTs JACKET / VEST

[ ]XS [ ]S [ ]M [ ]L [ ]XL [ ]XXL ......................... $60.00sV-NECK DRI-MESH T-SHIRT

[ ]S [ ]M [ ]L [ ]XL ORANGE [ ] GOLD [ ] ...$24.00 [ ]XXL [ ]XXXL ORANGE [ ] GOLD [ ] ...$27.00sACCENT-TRIMMED POLO

[ ]S [ ]M [ ]L [ ]XL ......................... .......................... ........$45.00[ ]XXL [ ]X XXL ......................... .......................... ..................... $47.00

s CAP ....................................................................$15.00sSOCKS Size [ ] 9-11 only: .................................$10.00sEARRINGS (PAIR) ................................................................$10.00

Your order should be received by 1/21/13 to guarantee delivery.However, we will make every effort to fill your order.

Name: Date:

Address: City:

State: Zip: E-mail:

Tel (H): Tel (W):

Yacht Club/Other Boating Afliation: Type of boat you sail:

Please indicate the type of sailing you like most (CHECK): [ ] CRUISING [ ] RACING [ ] DAYSAILING [ ] DONT KNOW

CHECK SAILING ABILITY [REQUIRED] (refer to Experience/Qualication Descriptions on page 6 of brochure):

NOVICE (0-2) INTERMEDIATE I (3-4) INTERMEDIATE II (5-6) ADVANCED (7-8) EXPERT (9-10)

Registration

To register you must print out and mail this page or scan completed-printed page and email.

Registration FeesEVENT FEE $185 (ifreceived by 1/28/12

BE SURE TO CHECK SIZE DESIRED!

R E Q U I R E D F O R Y O U R C O N F I R M A T I O N N OT I C E

FIRST CHOICE SCHEDULE SECOND CHOICE SCHEDULE

7

COMMENTS SPECIAL NOTES

PLEASE PRINT CLEARLY

[ ] VISA [ ] MC [ ] AE [ ] DIS Name on Card______________________________________

Credit Card#____________________________ Expiration Date__________________ CVC______________

(Convention Participant or guest aboard or owner or borrower)

In consideration of your acceptance of my entry, I herebyagree as follows:1. I agree with you, with the club (Bahia Corinthian Yacht Club) hosting this event, and Southern

Caliornia Yachting Association to comply with all rules and instructions governing this event.

2. I hereby release the Southern Caliornia Yachting Association, Bahia Corinthian Yacht Club, its

ofcers, agents or committee personnel rom any and all liability or any injury to mysel or my yacht

arising out o your conduct o the Sailing Convention or use o acilities, to the extent that such

release does not discharge the insurance carrier under the provisions o the insurance policy on the

yacht participating in this event.

3. I assume any risk o injury arising out o my participation in the Womens Sailing Convention,

ailure or breakage o the yacht sailed on or any o its equipment, or weather conditions.4. My yacht (i used in this event) will be equipped to conorm with any and all U.S.C.G. saety

equipment.

5. I understand my name, mailing address, and email address will be printed in the Program, and this

Date:

Signed:

Please enter ME in the SCYA Womens Sailing Convention

YOU MUST SIGN BELOW TO VALIDATE REGISTRATION

*If paying by check, make payable to: SCYAMail to: 23414 Mt. Ashland Ct., Murrieta, CA 92562or scan completed-printed form & email to Gail Hine at hine@scya.org

with completed credit card info or FAX to 951-677-8124

Southern California Yachting Associations

24th Annual Feb. 2, 201313

EARLY REG FEE is $170 (12/1-12/31/12)

LATE REG FEE is $200 (after 1/26/13)

s MERCHANDISE TOTAL ORDER

s 3-Ring 1 Binder for Handouts $3.00

sTOTAL (FEES + MERCHANDISE)*

9:30 - 10:50 AM 11:00 - 12:20 PM 1:30 - 2:50 PM 3:00 - 4:20 PM

INTRO TO

RACING

WINCHES

BEYOND

BANDAIDS

ANCHORING

DOCKING

HASSEL-FREE

HEADS

INTRO TO SAIL

OFFSHORE

INTERMED SAIL

NAV 101

WELCOME

ABOARD

GALLEY

DIVA

RACE

OVERBOARD

BASIC

RULES&TACTICS

SINGLEHANDED

SPINNAKER

RIGGINGBASIC

SAIL TRIM

NAV 201

WEATHER

DIESELSDINGHY

DOs & DONTs

If you register for an on-the-water workshop (those with color crossing two time periods).You cannot register for a land-based workshop at the same time as one on-the-water.

CIY

CANVASBOAT

MAINTEANCE

BASIC NAV RULES

AND BOWLINES

GOING UP

THE MAST

CRUISING

& PIRATES

KNOTS

NIGHTTIME

SAILING & NAVHOW TO

HEAVE A LINE

9:30 - 10:50 AM 11:00 - 12:20 PM 1:30 - 2:50 PM 3:00 - 4:20 PM

INTRO TO

RACING

WINCHES

BEYOND

BANDAIDS

ANCHORING

DOCKING

HASSEL-FREE

HEADS

INTRO TO SAIL

OFFSHORE

INTERMED SAIL

NAV 101

WELCOME

ABOARD

GALLEY

DIVA

RACE

OVERBOARD

BASIC

RULES&TACTICS

SINGLEHANDED

SPINNAKER

RIGGINGBASIC

SAIL TRIM

NAV 201

WEATHER

DIESELSDINGHY

DOs & DONTs

If you register for an on-the-water workshop (those with color crossing two time periods).You cannot register for a land-based workshop at the same time as one on-the-water.

CIY

CANVASBOAT

MAINTEANCE

BASIC NAV RULES

AND BOWLINES

GOING UP

THE MAST

CRUISING

& PIRATES

KNOTS

NIGHTTIME

SAILING & NAVHOW TO

HEAVE A LINE