Online Entry

: 6/19/2008 - Brooke Gonzalez Adv. Race Clinic

General Information:

Name (first/last):

Address Line 1:

Address Line 2:

City, State, Zip:

Sailor FNAME

Sailor LNAME

Skipper or Crew Name (if C420)

Parent or Guardian Full Name

Parent or Guardian Cell Phone Number

Sailor Cell Phone in Newport

Sail Number

I am bringing my own boat:

I need Housing:

I am able to house the following number of Sailors:

Arrival Details

I will have my own vehicle for transportation in Npt

Class

Food/Drug Allergies or Dietary Issues (type NA if none)

Residence Phone:

Cell/Business Phone:

Fax:

Email:

Entry Fees:

	Price	Qty	Fee
Clinic Fee Per Sailor	435.00
Total Fee:

The Below two Forms 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)

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