Skipper Name :

Email :

Address :

City :

State :

Zip :

Class :

Club :

Sail Number :

Crew 1 Name :

Crew 2 Name :

US Sailing Number :

# of Saturday Lunch - $6 :

# of Saturday Adult Dinners - $13 :

# of Saturday Children Dinners - $6 :

# of Sunday Lunches - $6 :

(Note ... after clicking on "Submit", you will be taken to a "Thank You for contacting us" page. We don't anticipate any difficulties, but just in case ... if you are not automatically taken to the "Thank You" page, please email your registration info directly to Matt Gregory : email)