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Robie Pierce One-Design and Women's Invitational Regattas Registration - 2013
2.
This information is to be completed by each participating sailor. If you don't have all the information at this time, you can contact Siobhan Reilly at reillyhere@optonline.net.
1.
What is your name?
*
2.
What is your disability?
(Required.)
*
3.
Will you race in the Robie Women's Invitational, the Robie Open or both regattas?
(Required.)
Robie Women's only
Robie One-Design only (Skip next question)
Both
4.
If you are racing in the Robie Women's Invitational, are you the Skipper or Crew? Who is your teammate? Do you need an AB? If you have an AB, what is their name?
Skipper/crew
Teammate's name
AB's Name
5.
If you are racing in the Robie Open, are you the Skipper or Crew? Who is your teammate? Do you need an AB? If you have an AB, what is their name?
Skipper/Crew
Teammate's name
AB's name
6.
Please provide your e-mail address.
7.
Please provide your contact phone numbers.
Cell phone:
Home phone:
8.
What is your mailing address?
Address:
Address 2:
City/Town:
State:
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Country:
9.
Please indicate if you have any dietary restrictions.
Vegetarian
Gluten free
Non-dairy
No dietary restrictions
Other (please specify)
10.
Please indicate what size T-shirt you would like.
Women's 6
Women's 8
Women's 10
Women's 12
Men's S
Men's M
Men's L
Men's XL
Men's XXL
11.
We welcome your family to be a part of the Robie experience. There will be a food charge if your guest participates in any of the meals. Please let us know if you plan on having a guest. Thank you!
Name of guest:
When will they be joining you?