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Pacific Puddle Jump 2018 Registration

ENTRY BASICS

Please Read - Form Login Account (optional)
Establishing an account will allow you to make additions or changes later to crew, equipment or contact information. The account you establish is only for this form.  CLICK HERE to set up or return to your account for this form. You must set up the account BEFORE you first enter your information.
In order to establish your registration, you must initially fill out the beginning of the form to at least include your Name, Boat Name and Contact info.
 
* indicates that a response is required

CONTACT INFO

Please note: The Rally Committee will send several informational emails to the fleet via both 'land-based' and 'at sea email' addresses. Messages sent to 'at sea emails' will always be as short as possible.
 
We NEVER share fleet contact information with commercial enterprises.
Radios *

BOAT INFO

Rig Type *
 
Hull Material *

SAFETY INFO

Liferaft On Board? *
EPIRB/PLB on board? *
0/100 characters

CREW INFO

Gender *
Retired?
Have you participated in a previous Puddle Jump . . .
as Captain? *
as Crew? *
___________________________________________________________________________________________
Gender
Retired?
What is this crew's relationship to the Captain?
 
Have you participated in a previous Puddle Jump . . .
as Captain?
as Crew?
___________________________________________________________________________________________
Gender
Retired?
What is this crew's relationship to the Captain?
 
Have you participated in a previous Puddle Jump . . .
as Captain?
as Crew?
___________________________________________________________________________________________
Gender
Retired?
What is this crew's relationship to the Captain?
 
Have you participated in a previous Puddle Jump . . .
as Captain?
as Crew?
___________________________________________________________________________________________
Gender
Retired?
What is this crew's relationship to the Captain?
 
Have you participated in a previous Puddle Jump . . .
as Captain?
as Crew?
___________________________________________________________________________________________
0/300 characters
___________________________________________________________________________________________
PLEASE NOTE: If you have additional crew, email their info to andy@latitude38.com

OWNER'S BIO

LEGAL AGREEMENT

I certify that all of the information above is correct to the best of my knowledge, and I agree that my participation in the the Pacific Puddle Jump Rally carries with it certain inherent risks ranging from minor injury to death. I acknowledge that my participation in the Rally is voluntary and that I am knowingly assuming all such risks. I further agree to indemnify and hold harmless, Latitude 38 Media LLC, Tahiti Tourisme, Archipelagoes, event organizer Andy Turpin, and all other sponsors and supporters from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorneys’ fees, brought as a result of my involvement in the Rally. *
___________________________________________________________________________________________
Mailing address:
Pacific Puddle Jump Rally c/o Latitude 38, 15 Locust Ave., Mill Valley, CA 94941 USA