Registration Form - 2017 Wed Night Series

Starting: Wed, Apr 19, 2017

Items with an * and in Blue are Required

Skipper Information

Skipper First Name: *
Skipper Last Name: *
Address: *
City: *
State: *
Zip Code: *
Cell Phone Number: - -
Phone Number: * - -
Email Address: *
Member in good standing of: * OYC PYC LNYC
US Sailing membership #:


Boat Information

Fleet Declaration:
Click on Square to the right to Choose which Fleet *
Spinnaker or Non Spinnaker
LNKC PHRF Certificate Number: *
Wait Until Your LNKC Data Loads
LNKC PHRF Rating: *
Boat Name: *
Boat Make / Model PHRF: *
Sail number: *
Dates you are NOT available
for Race Committee Duty:
1st Date - 2nd Date - 3rd Date

If you need to specify more dates
you are NOT Available Contact Race Chairman
Doug Riley
email: doug_riley@bellsouth.net
phone: 704-947-0470