Name(s):
Street Address:
City:
State:
Zip Code:
Phone:	() - -
Boat Cell:	() - -
Email Address:
MMSI Number
Boat Name:
Model Number:
Hull Number:
Boat Location
Marina:
River or Community:
State:

I hereby acknowledge that the Chesapeake Bay Sabre Association, its officers and members, are not liable for any damage or injury that may occur in any event sponsored by the Association, and the decision, based on weather, safety or other such information, to participate in any such event is the sole responsibility of the participating member.

Signature: _________________________________ Date: ____________

Persons desiring to participate in CBSA should complete this form and mail it with a check for $10.00 (payable to Chesapeake Bay Sabre Association) to:

Skip Hardy, CBSA Membership Chairman
6041 Ivy League Drive
Baltimore, MD 21228