Regatta Pre-Registration Form

Midwest Regional Championship 2
(2004 USCCA membership card required)

August 7 - 8, 2004
Lake Bluff, IL

Competitor Name
Address
City State: Zip: Country:
Phone Home W: Email:
Yacht Club
Sail Number  Hull Type:     
Boat Name  Crew Name: 
  Class Association Member  
Age Gender:   
Local Contact  Local Phone:
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Registration Fees to be paid at Regatta Check-in:
Regatta Fee   (pay at check in, or mail )
Lunches   
Dinners  
Total Due   (pay at check in, or mail)

Waiver:     "I agree to be bound by the The Racing Rules of Sailing and by all other rules that govern this event."

    Mail to: LBYC, PO BOX 292, Lake Bluff, IL 60044