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Opti Racing Registration Form
The Mark Sorensen Youth Sailing Program
Upper Keys Sailing Club
100 N Ocean Bay Drive
Key Largo, FL 33037
www.msysp.org
T. 305.747.2600
Email address *
Which season are you registering your child for? *
Sailor Name *
Your answer
Sailor's DOB: *
Your answer
Sailor's Info Approximate Height & Weight: *
Your answer
Parent/Guardian Name *
Your answer
Parent Street Address, City and Zip Code: *
Your answer
Parent One - Mobile Number: *
Your answer
Parent Two - Full Name & Mobile Number: *
Your answer
Parent Two - Email Address *
Your answer
Does child have any medical conditions we should know about? If so, please specify: *
Your answer
Does child take any medications? *
Your answer
Please provide child's general care practitioner's name & office number: *
Your answer
Who is authorized to pick up the child? Please provide full name and mobile number. *
Your answer
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