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* 1. What is your first name?

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* 2.
What is your last name?

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* 3. What is your disability?

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* 4. In which of the Robie Pierce Regattas will you compete?

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* 5. If you are racing in the Robie Pierce Women's Invitational Regatta, are you Skipper or Crew?  Who is your teammate?  Do you need an AB?  If you have an AB, what is their name?

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* 6. If you are racing in the Robie Pierce One-Design Regatta, are you Skipper or Crew?  Who is your teammate?  Do you need an AB?  If you have an AB, what is their name?

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* 7. Please provide your contact information.

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* 8. Do you haven any dietary restrictions?

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* 9. We welcome your family to be a part of the Robie Pierce Regatta weekend. There will be a food charge if your guest participates in any of the meals.  Please provide us with your guest's information so we can plan accordingly.  Thank you!

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* 10. We are scheduling a Spectator Boat to watch the races midday on Saturday and Sunday of the regatta. Please let us know if there is anyone coming with you that may like to have a spot on the Spectator Boat.

Thank you very much for registering for the 2019 Robie Pierce One Design Regatta!
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