2019 Robie Pierce Housing Request

Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name?

Question Title

* 3. What is your disability?

Question Title

* 4. Please let us know the dates you are interested in overnight housing.

Arrival Date

Date

Departure Date

Date

Question Title

* 5. How many people in your party that are in need of housing?

Question Title

* 6. How many rooms do you need?

Question Title

* 7. Do you have your own transportation to and from the regatta each day?

Question Title

* 8. Do you have any service dogs traveling with you?

Question Title

* 9. If you are visually impaired, will you have a sighted companion staying with you?

Question Title

* 10. Any other information regarding your housing request that you would like us to know?

Question Title

* 11. Thank you for answering our questions regarding your housing request. If you should have any questions, please feel free to contact Paula Fung at lapaula84@aol.com.