Carolina Power Boat Association
2008 Lake Norman Fun Run/Party
July 19th, 2008

 

 

 

Name _______________________________________________________  

 

Phone _______________________________________________________

 

Boat Name  ____________________________________         Year _________________________


Make _____________________________       Length __________    Beam __________________

 

# of Motors_____________       Make__________________    Total HP______________________

 

Captain  _________________________________________________________________________

 

Address ___________________________ City _________________   State  ____   Zip _________

 

Insurance Carrier__________________________________________________________________

 

Insurance Policy#__________________________________________________________________

 

Email   __________________ ____________________________________FAX _______________

 

 

Price per couple: $250 (Fee is for two people and includes two hands, and two dinners.) Extra crew dinners are $50 per couple. Extra hands are $100ea. Children 13 and under eat free.

 

CPBA and sponsors of the Run are not responsible or liable for any damages or personal injury incurred during the Run. I voluntarily assume the risk of participation in the event and release the CPBA and the people conducting the 2008 CPBA Run from all liability in connection with any injury or damage which may occur. THIS IS NOT A RACE. All boats must be insured and equipped with all Coast Guard and N.C. required equipment. CPBA and sponsors have the right to disallow any boat not meeting safety requirements in the Run. By registering, participants in the run acknowledge that they may be photographed and videographed.  Photographs may be posted on the internet and may be used in club advertising and promotional materials. I have read and agree to all the terms and conditions above.

 

 

Captain Signature_____________________________Print Name __________________________

 

 

- LIMITED ENTRY OF 75 BOATS TOTAL!
- THE DEADLINE FOR ENTRY IS July 15th ,2008!! A late fee of $50 will be charged for all entries after this date.

 

 

Please indicate what your anticipated cruising speed will be during the event:


Under 55mph _____  Over 55mph ______

 

 

Please return this form, proof of insurance, and your Registration Fee to:

CPBA,

5327 Ridge Lane Circle,

Sherrils Ford, NC 28673.

 

 

Registrations are not valid until the registration fee is received.