Potomac River Sailing Association Membership Application 2012
April 2012 through March 2013
Member Information:
Last Name * First Name * Middle Initial
Name you go by
Street * City * State * Zip
Phone (Home) * Phone (Day) Phone (Cell)
E-Mail
Boat 1 Class Boat 1 Sail Number
Boat 2 Class Boat 2 Sail Number
* Note these fields are required
Renewing skipper member of a multi-person boat -- $90First time skipper member of a multi-person boat -- $65Skipper member of a single person boat--$60Junior skipper (under 18 or full-time student)--$25Non-skipper (crew) membership--$25Life Member -- $900Honorary Member
In the next step of the on-line application/renewal process you will be given the choice of paying your dues using PayPal or sending in a check to our Treasurer
Donation to Commodore's Club for capital improvements $
WAIVER OF RESPONSIBILITY
On behalf of myself and crew, I agree to abide by the regulations and sailing instructions of the Potomac River Sailing Association (PRSA) when participating in any event sponsored or conducted by PRSA or any of its member fleets. In consideration for being permitted to enter any such event and for being accepted into membership in PRSA, and being knowledgeable of the risks of competitive sailing, and knowing that it is my sole responsibility to decide whether to enter or continue in any race, I voluntarily assume all risks associated with participation in such events hereby release PRSA, its fleets and officers and the people conducting the event from any liability in connection with any injury or damage that may occur.
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