Online Registration is Closed
If you have any questions, please contact Brandon Flack.
Skipper Information
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Participant Name:
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Email:
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Alternate Email:
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Date of Birth:
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Age:
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Gender: |
 M
F
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Parent/Guardian Name:
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Address:
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City:
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State:
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ZIP:
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Emergency Phone:
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Club Affiliation:
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| T-shirt: |
YouthM
YouthL
AdultS
AdultM
AdultL
AdultXL
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Crew Name:
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Age:
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Crew Name:
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Age:
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Crew Name:
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Age:
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Crew Name:
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Age:
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Crew Name:
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Age:
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Boat Type/Preferred Division
Entry Type & Fees
 Entry Fee (per sailor)
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$40.00
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(Late Registration after 10/9/2014)
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$10.00
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Extra Merchandise
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Additional T-Shirts:
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@$29.00/ea.
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As a condition of participation of any boat in any race or related activity sponsored or undertaken by the Niantic Bay Yacht Club and/or MudRatz Inc, the owner and the sailor of each boat agree that the safety of the boat and the sailor and the decision whether or not to start or continue to race is solely their responsibility. Responsibility for evaluating wind, sea and weather conditions rests with each participant, as does the responsibility for the safe condition of the boat including safety equipment and rigging and wearing a life jacket. Assistance from the race committee, patrol boats, or other support boats and from personnel aboard them is at the risk of the participant.
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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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