Early Registration Discount Ends at 12 AM (2400 Hrs) September 15, 2017
If you have any questions, please contact Susan Wilson.
Boat Type/Preferred Division
Registrant Information
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Email:
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Name:
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Age:
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Address:
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City:
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State:
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ZIP:
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Cell Phone:
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Club Affiliation:
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| Included Shirt: |
 S
M
L
XL
XXL
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Entry Type & Fees
 Entry Fee
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$165.00
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(Late Registration after 9/25/2017)
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$25.00
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 USSailing Member (discount if checked)
Member Number:
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- $5.00
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Meals and Regatta Merchandise
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Registration fee includes 2 tickets for the "Cheeseburger in Paradise" dinner, 2 tickets for the awards banquet, 2 regatta shirts. |
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Extra T-Shirts:
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M:
L:
XL:
XXL:
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@$20.00/ea.
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Extra Cheeseburger in Paradise Dinner:
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@$12.00/ea.
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Extra Friday BBQ Awards Dinner:
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@$15.00/ea.
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Shipping for shirts:
(up to 4 shirts)
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@$12.00/ea.
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The registered Helmsman must be a current member of the Mutineer Class Association: Join Here
For the consideration of being allowed to participate in the 2017 Mutineer National Championship Regatta, I hereby release Browns Creek Sailing Association, and the Mutineer Class Association, its officers and agents from any and all liabilities incurred by me, my guests, family or crew. I do hereby certify that I maintain an active insurance policy on my boat and that this policy provides coverage while racing in these events.
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I have read and agree to these terms.
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Name:
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Date:
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