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2015 North American Championship Regatta Registration
If you have any questions about this regatta please call Andy Wood at 410-310-9374 or by email.

Notice of Race

   
Skipper Name
  
Birth Date
  
Skipper Address, City, St, Zip
Home Phone
 Work or Cell Phone
   
Email address
  
Sail Number
 Hull Color
   
Club Affiliation
  
Crew Name
  
Crew Address, City, St, Zip
Regatta Fee due if mailed by June 5, 2015  -------    $60.00
Late Fee if mailed after June 5, 2015    ----------------------   $15.00

Total Due

Please total fees below

After submitting this form, please mail your check payable to CCYRA and the signed Waiver / Release of Liability to:
Andy Wood, 226 Harbor Lane, Queenstown, MD 21658


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