Name (First Last)

Street

City

State

Zip

Phone

Email

Home Club

USSA Number

Register before March 31, 2010 and get a $10 discount

Boat Name

Sail Number

Class A B C

Boat Make/Length

Boat Model

Keel Style

Size of jib %

Furling Jib Yes No

Engine Type Inboard Outboard     PHRF Handicap

It is my intention to enter the Dataw to BYSC race on Friday. Yes No

Roast beef dinner (includes beer, wine, soft drinks)

Adults ($25)

Children($12)