2019 Robie Pierce One Design Regattas Registration Form

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* 1. What is your first name?

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* 2.
What is your last name?

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* 3. What is your disability?

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* 4. In which of the Robie Pierce Regattas will you compete?

Robie Pierce One-Design Regatta Only

Robie Pierce Women's Invitational Regatta Only

Both the Robie Pierce Women's Invitational and the Robie Pierce One-Design Regatta

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* 5. If you are racing in the Robie Pierce Women's Invitational Regatta, are you Skipper or Crew? Who is your teammate? Do you need an AB? If you have an AB, what is their name?

Skipper -

Crew -

AB (Able Body) -

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* 6. If you are racing in the Robie Pierce One-Design Regatta, are you Skipper or Crew? Who is your teammate? Do you need an AB? If you have an AB, what is their name?

Skipper -

Crew -

AB (Able Body) -

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* 7. Please provide your contact information.

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 8. Do you haven any dietary restrictions?

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* 9. We welcome your family to be a part of the Robie Pierce Regatta weekend. There will be a food charge if your guest participates in any of the meals. Please provide us with your guest's information so we can plan accordingly. Thank you!

Please provide the name(s) of your guest?

What meals will they be attending?

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* 10. We are scheduling a Spectator Boat to watch the races midday on Saturday and Sunday of the regatta. Please let us know if there is anyone coming with you that may like to have a spot on the Spectator Boat.

Thank you very much for registering for the 2019 Robie Pierce One Design Regatta!

2019 Robie Pierce One Design Regattas Registration Form

Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name?

Question Title

* 3. What is your disability?

Question Title

* 4. In which of the Robie Pierce Regattas will you compete?

Question Title

* 5. If you are racing in the Robie Pierce Women's Invitational Regatta, are you Skipper or Crew? Who is your teammate? Do you need an AB? If you have an AB, what is their name?

Question Title

* 6. If you are racing in the Robie Pierce One-Design Regatta, are you Skipper or Crew? Who is your teammate? Do you need an AB? If you have an AB, what is their name?

Question Title

* 7. Please provide your contact information.

Question Title

* 8. Do you haven any dietary restrictions?

Question Title

* 9. We welcome your family to be a part of the Robie Pierce Regatta weekend. There will be a food charge if your guest participates in any of the meals. Please provide us with your guest's information so we can plan accordingly. Thank you!

Question Title

* 10. We are scheduling a Spectator Boat to watch the races midday on Saturday and Sunday of the regatta. Please let us know if there is anyone coming with you that may like to have a spot on the Spectator Boat.

* 2.
What is your last name?

* 5. If you are racing in the Robie Pierce Women's Invitational Regatta, are you Skipper or Crew? Who is your teammate? Do you need an AB? If you have an AB, what is their name?

* 6. If you are racing in the Robie Pierce One-Design Regatta, are you Skipper or Crew? Who is your teammate? Do you need an AB? If you have an AB, what is their name?