Laser Midwinters East Entry Form
February 18-22, 2009

You may register on-line at:  http://www.regattaprocessing.com/CLWYC/LMWE09/reginfo.php

Name  ______________________________________________

Address  ____________________________________________

City, State, Zip _______________________________________

Day Phone Number ___________________________________

Emergency/cell Phone _______________________________

Email Address ________________________________________

ISAF Sailor ID _________________________________________

Club Affiliation ________________________________________

Sail Number __________________________________________ Class legal sail numbers only (see NOR)

Gender (M/F)_________________________________________

Fleet:    Laser      Radial     4.7      (circle one)

Age Category:    Junior (<18)          Open (18-34)                    Apprentice Master (35-44)
                               Master (45-54)     Grand Master (55-64)     Great Grand Master (65+)       (circle one)

The entry Fee is $170.00 USD with a $30.00 late fee after February 10, 2009. This includes lunch each day, 2 dinners and a regatta souvenir.

Please make checks payable to Clearwater Yacht Club and mail to:
Clearwater Yacht Club
Attn: Youth Sailing
830 South Bayway Blvd
Clearwater, Florida 33767