NWISA Singlehanded Champs REGISTRATION

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Name *

Sail Number

Class *

Laser Full Rig

Laser Radial Rig

Laser 4.7

School *

Email *

Coach or Chaperone Name *

Coach or Chaperone Cell Phone # *

Would you like a vegetarian lunch? *

YES

Release Statement

I agree to release the officers and members of CGRA and NWISA in the event of personal injury or property damage that the participant(s) named below may suffer as a result of participation in this regatta regardless of circumstances regarding such injury or damage.

Release Sailor Name *

Parent/Legal Guardian *

By supplying your name you are signing the Release Statement above for the participants named above.

Signed Date *

mm/dd/yyyy

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