2017 CT/RI Lightning Jr. District Championship, and - Chubb Area B Triplehanded Championship<br> Niantic Bay

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	2017 CT/RI Lightning Jr. District Championship, and Chubb Area B Triplehanded Championship Niantic Bay :: June 30, July 1, 2017

Registration by June 23, 2017

If you have any questions, please contact Chris Vann.

Skipper Information

Participant Name:

Email:

Alternate Email:

Date of Birth:

Age:

Parent/Guardian Name:

Address:

City:

State:

ZIP:

Emergency Phone:

Club Affiliation:

T-shirt:

YouthL

AdultS

AdultM

AdultL

AdultXL

Boat Information

Sail Number:

Entry Type & Fees

Lightning	$100.00
(Late Registration after 6/23/2017)	$0
USSailing Member (discount if checked) Member Number:	- $0

ADDITIONAL Regatta Merchandise

Additional Shirts:

YouthM: YouthL: Adult S: AdultM: AdultL: AdultXL:

@$20.00/ea.

Total Due:

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