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* 1. Name

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* 2. Address

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* 3. Email Address

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* 4. Phone Number

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* 5. Boat Make and Size

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* 6. Boat Model

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* 7. Proof of Insurance- Signature for Confirmation

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* 8. Waiver of Liability- Signature Required

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* 9. Which Charity are you going to donate to for Registration?

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