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Register For
2017 Laser ACC's

May 5 - 7, 2017
 
View this form in:
Event Fees

Registration:
 
$100.00
 

Skipper Information

Items marked with a * are required unless stated otherwise.

Have you registered with US SAILING Regatta Network before? Enter your name and US SAILING Number, then click the 'Look Up My Information' button below to retrieve your information tied to your US SAILING number.
Skipper First Name*:
Skipper Last Name*:
US SAILING # (USA ONLY):
  Look Up My Information
ILCA
Member Number:
ZIP/Postal Code*:
Address*:
City*:
State/Province*:
Country*:
Country Representing*:
Phone Number*:
Cell Phone Number:
  Allow text messages from event organizer
Email Address*:
Email Address Confirm*:
Yacht Club Affiliation*:
Birthdate*:
Sex:
Shirt Size*:
Parent/Guardian Name*:
Parent/Guardian Cell Phone*:
Parent/Guardian Email*:
   
   
Emergency Contact Name*:
Emergency Contact Relationship*:
Emergency Contact Phone*:
   
List Any Medical Conditions*:
List Any Medications Taken*:
List Any Allergies or
Special Dietary Requirements*:
Boat Information
   
Sail Number* :
Desired Class :
   

I agree to be bound by the Racing Rules of Sailing and by all other rules that govern this event. In addition, I acknowledge that the host club, their officers, members and volunteers do not accept any liability for loss of life or property, personal injury or damage to property caused by or arising out of the above regatta, and that I take part in the regatta entirely at my own risk. I understand and accept that personal accident and health insurance is my sole responsibility.

I agree to the above:
 

 
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