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Skipper Information
Participant Name:
Email:
Alternate Email:
Date of Birth:
Age:
Parent/Guardian Name:
Address:
City:
State:
ZIP:
Emergency Phone:
Club Affiliation:
T-shirt:
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Crew Name:
Crew Name:
Crew Name:
Crew Name:
Crew Name:
Boat Type/Preferred Division
One Design Divisions
Opti:
Red
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Blue
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Boat Information
Sail Number:
Entry Type & Fees
Entry Fee (per sailor)
$30.00
(Late Registration after 7/26/2017)
$15.00
Total Due:
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