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Middle Atlantic Midget Championsips
August 18-19 - ECSA - Wadawanuck YC
Skipper/Crew Information
Participant Name:
Email:
Alternate Email:
Date of Birth:
Age:
Parent/Guardian Name:
Address:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
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NH
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OR
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RI
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SD
TN
TX
UT
VT
VA
WA
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NB
NS
PE
NF
QC
ON
MB
SK
AB
BC
YK
NT
USA
AUS
BAH
BMU
CAN
CHL
GER
GBR
IS
MEX
NOR
ZIP:
Emergency Phone:
Club Affiliation:
If doublehanded boat, this participant is:
Helm
Crew
Sailing with:
Boat Type/Preferred Division
One Design Divisions
420
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Boat Information
Sail Number:
Entry Type & Fees
Entry Fee (per sailor)
$70.00
Total Due:
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