Register for the Newport Laser Fleet 2016-2017 Season

Please fill out the form below and submit your dues. You will be redirected to PayPal for payment after filling out this form.

Name *

First

Last *

Last

Sail Number *

Scoring Sail Number *

(Last four digits of full number)

Address *

Address Line 2

City *

State *

Postal Code *

Email *

Phone Number *

Date of Birth *

Age *

Emergency Contact Name *

Emergency Contant Phone Number *

Relationship to Emergency Contact *

How would you like to pay for your membership? *

Credit Card

Check / Cash

Please print out the form after you have submitted it and submit it along with cash / check payment to any fleet captain. The form will be e-mailed to you upon submission.

Fees:
Adult, Racing & Storage $170
Adult, Racing Only (no storage) $100
College, Racing & Storage $150
College, Racing Only (no storage) $50
Junior, Storage (racing is free) $50

Desired Membership Level *

Release

In consideration of the foregoing, I hereby release the Sponsors and Race Committee and the volunteers from any and all claims which I may have now or hereafter may arise from injury or loss resulting from my participation in the races in this series, or in any other series or race hereafter organized or conducted by them or any of them. I acknowledge that sailing is inherently dangerous. I further acknowledge that the decision as to whether to sail or to continue sailing rests solely and exclusively with me.

Signature _________________________________
Date________________________

To complete your registration, please follow these instructions carefully:

1. Submit this page. You will be redirected to PayPal where final payment is accepted.
1. A copy of this form will be emailed to you. Print it out.
2. Sign the hard copy of this page/waiver and turn it in to a fleet captain

Register for the Newport Laser Fleet 2016-2017 Season

Release

To complete your registration, please follow these instructions carefully:

Follow Fleet 413

Register for the 2016-2017 Frostbite Season