LYC 2022 Women's Sailing Application & Release Form
Participant Name |
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Email Address |
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Mailing Address (Street) |
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City, Province |
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Postal Code |
Value |
Phone |
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Describe Previous Sailing Experience - Beginner; Intermediate; Advanced Phone |
|
2022 Session |
|
Member Fee (HST incl) |
$100 |
Non-Member Fee (HST incl) |
$165 |
Emergency Contact |
|
Emergency Contact Phone |
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Medical Conditions |
|
Physical Restrictions |
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Additional Information |