Online Entry

: 6/19/2009 - Brooke E. Gonzalez Advanced Race Clinic

General Information:

Name (first/last):

Address Line 1:

Address Line 2:

City, State, Zip:

Sailor First Name

Sailor Last Name

Skipper or Crew Name (if 420)

Parent or Guardian Full Name

Parent or Guardian Cell Phone Number

Sailor Cell Phone in Newport

Sail Number

Sailor Email

Parent or Guardian Email

I am bringing my own boat:

I need Housing:

My Sailing Partner Needs Housing:

I am able to house the following number of sailors:

Arrival Details:

I will have my own vehicle for transportation in Newport:

Class

Food/Drug/Pet Allergies or Dietary Issues:

Residence Phone:

Cell/Business Phone:

Fax:

Email:

Entry Fees:

	Price	Qty	Fee
Clinic Fee Per Sailor	478.00
Total Fee:

The Two Forms Below Must be Completed and Mailed to SN at 60 Fort Adams Dr. Newport, RI 02840 to be Fully Registered. You may FAX as a last resort to 401-846-7245.

Athlete Morals Agreement

Medical Form And Waiver (Parents/Guardians)

If you have any questions about the registartion process, please call or email Katie Barker.
401-846-1983 or Email Katie

Sail Newport - 60 Fort Adams Drive - Newport, Rhode Island 02840 - 401-846-1983 - Contact Us - Directions