Robie Pierce One-Design and Women's Invitational Regattas Registration - 2013

1.

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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.

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* 1. What is your name?

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* 2. What is your disability?

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* 3. Will you race in the Robie Women's Invitational, the Robie Open or both regattas?

Robie Women's only

Robie One-Design only (Skip next question)

Both

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* 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

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* 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

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* 6. Please provide your e-mail address.

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* 7. Please provide your contact phone numbers.

Cell phone:

Home phone:

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* 8. What is your mailing address?

Address:

Address 2:

City/Town:

State:

ZIP:

Country:

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* 9. Please indicate if you have any dietary restrictions.

Vegetarian

Gluten free

Non-dairy

No dietary restrictions

Other (please specify)

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* 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

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* 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?