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Clearwater Championships 2006 Entry Form
October 7-8, 2006

You may register and pay on-line at:  http://www.clwyc.org/ClwChamps06

Skippers Name ___________________________________________

Crew Name _______________________________________________

Address  _________________________________________________

City, State Zip ____________________________________________

Phone Number ____________________________________________

Date of Birth ______________________________________________

Sail Number _______________________________________________

Club Affiliation _____________________________________________

Email Address _____________________________________________

Fleet:       Green              Red               White              Blue              Laser               

                   Laser Radial      Laser 4.7      Club 420     (circle one)

The entry Fee for single handed boats is $55 with a $10 late fee after October 1, 2006, for double handed boats please add $15. This includes lunch for the competitors on each race day and a regatta souvenir.

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