Parent's Name

Street Address

City State ZIP

Phone                   E-Mail

Sailing Certificate From:

Racing Class:          Optimist                   Sunfish                   Topaz

I , am the parent or guardian of the above named sailor and grant full permission for him/her to participate in this event. I further certify that I have completed the release forms that are necessary for my child to take part in this Youth Sailing Program event.

Signature

Registration Fee: $TBD (Includes T-shirt & Picnic)

Please mail this form, fee and release forms (if not already completed) to:

Colington Yacht Club
Youth Sailing Program
P.O. Box 3232
Kill Devil Hills, NC 27948

Questions:[email protected]