* 1. What is your name?

* 2. What is your home address?

* 3. Will anyone else (or dog)  need to be housed with you?

* 4. What is your disability?

* 5. When do you plan on arriving and departing?

* 6. Do you have transportation to get to and from the regatta from the housing location?

* 7. Please let us know if there is any other information or special needs that you would like to provide regarding your housing request.

* 8. Please provide a cell phone number so your host can reach you. Thank you!

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