Pacific Puddle Jump 2023 Registration

ENTRY BASICS

Please Read - Form Login Account (optional)

Establishing an account NOW will allow you to make additions or changes later to crew, equipment or contact information. The account that 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 at least the beginning of the form to include your Name, Boat Name and Contact info. Please note: At the end of this form a 'participation fee' will be required to complete your registration.

* indicates that a response is required

Boat Name *

Boat Length (in feet) *

Boat Maker/Model (i.e.: "Catalina 36") *

Boat's Homeport *

Boat Owner's First Name *

Last Name *

Owner #2's First Name

Last Name

Country of Boat's Registry *

Documentation # / Registration # *

CONTACT INFO

Primary Email Address *

At Sea Email Address

Onboard Satellite Phone

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 *

VHF

SSB

HAM

VHF Call Sign?

SSB Call Sign?

HAM Call Sign?

MMSI #

Boat's own website and/or blogsite

BOAT INFO

Boat's Designer

Year Launched

Hull Color

Sail Number

Length Overall *

Beam

Displacement

Rig Type *

Hull Material *

SAFETY INFO

Liferaft On Board? *

Yes

No

Brand

Color (when deployed)

EPIRB/PLB on board? *

Yes

No

EPIRB &/or PLB Identifier Numbers

0/100 characters

CREW INFO

CAPTAIN's First Name *

Nickname You Go By

CAPTAIN's Last Name *

Country of Citizenship *

Passport Number *

Gender *

Male

Female

Age *

Occupation (former occupation if retired):

Retired?

Yes

No

Have you participated in a previous Puddle Jump . . .

as Captain? *

Yes

No

Which years?

as Crew? *

Yes

No

Which years?

Emergency Contact Person *

Emergency Contact's Email *

Emergency Contact's Phone *

___________________________________________________________________________________________

Crew #1 's First Name

Nickname You Go By

Crew #1's Last Name

Crew #1's Email

Country of Citizenship

Passport Number

Gender

Male

Female

Age

Occupation (former occupation if retired):

Retired?

Yes

No

What is this crew's relationship to the Captain?

Spouse

Child

Friend

Other Other

Have you participated in a previous Puddle Jump . . .

as Captain?

Yes

No

Which years?

as Crew?

Yes

No

Which years?

Emergency Contact Person

Emergency Contact's Email

Emergency Contact's Phone

___________________________________________________________________________________________

Crew #2's First Name

Nickname You Go By

Crew #2's Last Name

Crew #2's Email

Country of Citizenship

Passport Number

Gender

Male

Female

Age

Occupation (former occupation if retired):

Retired?

Yes

No

What is this crew's relationship to the Captain?

Spouse

Child

Friend

Other Other

Emergency Contact Person

Emergency Contact's Email

Emergency Contact's Phone

___________________________________________________________________________________________

Crew #3 's First Name

Nickname You Go By

Crew #3's Last Name

Crew #3's Email

Country of Citizenship

Passport Number

Gender

Male

Female

Age

Occupation (former occupation if retired):

Retired?

Yes

No

What is this crew's relationship to the Captain?

Spouse

Child

Friend

Other Other

Emergency Contact Person

Emergency Contact's Email

Emergency Contact's Phone

___________________________________________________________________________________________

Crew # 4's First Name

Nickname You Go By

Crew #4's Last Name

Crew #4's Email

Country of Citizenship

Passport Number

Gender

Male

Female

Age

Occupation (former occupation if retired):

Retired?

Yes

No

What is this crew's relationship to the Captain?

Spouse

Child

Friend

Other Other

Emergency Contact Person

Emergency Contact's Email

Emergency Contact's Phone

___________________________________________________________________________________________

Additional Crew or Equipment Information

0/300 characters

___________________________________________________________________________________________

PLEASE NOTE: If you have additional crew, email their info to andyturpinatlarge@gmail.com

OWNER'S BIO

How long have you owned this boat?

How many boats (not incuding dinghies) have you owned?

When did (each) owner start sailing?

Give us a 'quotable quote' that describes your attitude toward this event.

What's the most interesting thing about this boat (or your entry in the rally)?

Point of departure for French Polynesia? *

Approximate date of departure for French Polynesia? *

Anticipated port of arrival in French Polynesia? *

Approximate date of arrival in French Polynesia? *

When and where did you hear about the rally?

After the rally, what are your cruising plans?

LEGAL AGREEMENT

I certify that all of the information above is correct to the best of my knowledge, and I agree to notify the Pacific Puddle Jump organizers of any substantial changes or updates. I further agree that my participation in 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 Pacific Puddle Jump organizer Andy Turpin, Latitude 38 Media LLC, Tahiti Tourisme, Archipelagoes, Tahiti Crew yacht agency 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.

The standard entry fee is $125. Boats shorter than 35 feet OR owners younger than 35 years of age pay a discounted rate of $100. *

Yes

No

PARTICIPATION FEE

Registration for the Pacific Puddle Jump requires a per-boat participation fee. 1) This fee allows your boat to be included in our fleet 'safety database', and your daily positions recorded and plotted. When checking in you will also be able to report brief text updates and receive updates from other boats (on an opt-in/opt-out basis). 2) Beginning today, and continuing until the end of the Pacific Puddle Jump crossing season in July, you will receive a series of 'Fleet Letters' by email which will contain important info and updates, including relevant policy changes from the French Polynesian government. 3) As a registered fleet member, you will be eligible to request 'advanced entry approval' from the French Polynesian maritime agency DPAM to enter the territory in the coming months, even if the maritime borders remain officially "closed." NOTE: All crew must be vaccinated to obtain this approval. 4) You will also be eligible to receive discounts on goods and services from our sponsors, including reduced rates on all services of our Tahitian yacht agent, such as clearance, "repatriation bond" exemptions for your crew, and duty-free fuel access beginning in the Marquesas (a savings of approximately 45%, or roughly $275 on 100 gallons). 5) You'll also be invited to PPJ sendoff parties, 6) and receive an official PPJ burgee and other PPJ 'swag'.

Credit card payments are completed through a secure gateway. The standard entry fee is $125. Boats shorter than 35 feet or owners younger than 35 years of age pay a discounted rate of $100. Check the fee that applies to your entry: *

$125 — normal entry fee

$100 — small boat or young skipper discount

___________________________________________________________________________________________

Email: andyturpinatlarge@gmail.com

Postal Mail: Pacific Puddle Jump c/o Andy Turpin, 128 Rose Petal Court, Petaluma, CA 94954 USA