Laser Midwinters East Entry Form
February 17-21, 2010
You may register on-line at: http://www.regattaprocessing.com/CLWYC/LMWE10/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+) Coach (circle one)
The competitor entry Fee is $180.00 USD with a $30.00 late fee after February 9, 2010. The fee for coaches is $40 USD. The fees include 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