Form Page: CRW2010

CLEVELAND RACE WEEK 2010

Junior's Event Registration

June 23, 2010

This Event Is Restricted To Mono-Hulls Only

REGISTRATION CLOSES 9:30am JUNE 23, 2010

Sailor Information

FIRST Name:

LAST Name:

MI:

Street Address (including Apt/Suite Number):

City:

Zip:

State-Province:

Home Phone Number (Including Area Code):

E-Mail:

Age on day of event (June 23rd):

Date of Birth (MM-DD-YYYY):

Yacht Club or Organization:

"No" adds $5.00 to Registration Fee. All memberships are verified.

U.S. Sailing Member (Yes - NO):

Avoid the Fee! To join US Sailing Click Here.

Position On The Boat:

Boat Information

Sail Number ( Including ALL letters and numbers ):

Class:

Payment Information

Registration Fee $ 20.00 (Includes race fees, food, beverages and dockage)

Non-US Sailing Fee:

Total Due $

Payment Method:

If Paying With Edgewater Member Charge - Enter Number Here

Submit Registration

Submission of this form does not constitute complete registration. In addition to this form, registration requires all fees paid and receipt by the Organizing Authority of a complete and signed Limited Release and Medical Consent Form before the close of registration. The Limited Waiver & Medical Consent form is available on-line and when completed and signed can be faxed (216) 281-0265), mailed (6700 Cleveland Memorial Shoreway, Cleveland, OH 44102), submitted in the form of a digital image (jpeg, pdf, gif, tif) to office@eycweb.com or hand delivered to Edgewater Yacht Club.