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Register For
2017 Edison Sailing Center Summer Sailing Programs
Edison Sailing Center

June 5 - August 4, 2017
 
View this form in:
Event Fees

Select the events you would like to attend:

Session 4: July 24-28 & July 31-Aug 4

Sailing (July 24-Aug 4) 8:30am-12:00pm - $200.00
420 Sailing (Jul 24-28) 1:00-4:00pm - $125.00


Registrant 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.
First Name*:
Last Name*:
US SAILING # (USA ONLY):
  Look Up My Information
ZIP/Postal Code*:
Address*:
City*:
State/Province*:
Country*:
Phone Number*:
Cell Phone Number:
  Allow text messages from event organizer
Email Address*:
Email Address Confirm*:
Birthdate*:
Weight:
Lbs.
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*:
Will the student be 8-15 years old on the first day of class? (10-15 yrs for windsurfing)*:
Has the student been awarded a scholarship (approved by the CMCS/organization providing the grant):
Please list name(-s) of individuals other than parent that are allowed to pick-up student from camp*:
Event Information
   
   
 

 
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