Q-Race Entry Form

Q-Race

If you have already submitted a race entry form, but did not include your PHRF certificate or Liability Insurance documents, you can use our document upload form to upload them now.

Division

SOLO (Single-handed)

Double-handed

Yacht Name

Make and Model

Length Overall (ft)

Sail Number

PHRF Rating

Yacht Draft (ft)

Skipper Name

Skipper Email

Skipper Cellphone

Skipper Street Address

Skipper City

Skipper State

Skipper Zip

Skipper Shirt Size

Skipper Emergency Contact Name

Emergency Contact Phone

Crew Name

Crew Email

Crew Cellphone

Crew Street Address

Crew City

Crew State

Crew Zip

Crew Shirt Size

Crew Emergency Contact Name

Emergency Contact Phone

Any notes or comments you would like to include with your entry?

Acknowledgement

I acknowledge

I have read the Notice of Challenge and I agree to abide by the conditions set forth therein. By electing to participate and submitting this entry form, I agree to hold harmless THE LAKE MICHIGAN SINGLEHANDED SOCIETY and its associated parties for any loss or damage to my person, crew or property.

Race Sub Total: $

Shirt Sub Total: $

Total: $

Q-Race Entry Form

Q-Race Entries

Race Results