BCRP Application

* Required

Title

First Name *

Last Name *

Email Address *

Home Address *

City *

State *

Zipcode/Postcode *

Country *

Home Phone Number *

Work Phone Number *

Cell Phone Number *

Sailor email

Sailor First Name *

Sailor Last Name *

Class / discipline

DOB (mm/dd/yy) *

If C420

Ht (ft / in) & Wt (lbs) *

If Opti - Fleet

Sailor email

Please list your racing experience and why you wish to be in the BCR Program (previous BCRP racers simply list as such) *

Sailing goals and objectives for 2012 season *

Sibling Sailor First Name

DOB (mm/dd/yy)

Ht. (ft / in)

Wt. (lbs)

Class / discipline

If Opti

If C420

Please list your racing experience and why you wish to be in the BCR Program (previous BCRP racers simply list as such)

Sailing goals and objectives for the 2012 season

Subscribe to: E-mail List

Subscribe to: List for Email Blast

Subscribe to: List for Think Sailing

Rhode Island's Public Sailing Center