*First Name

*Last Name

*Address:

Suite/apt#:

*City:

*State:

*Zip:

*Best phone:

*Email:

Boat Class choose a Boat... Laser 4 (4.7) Laser 6 (Radial) Laser 7 (Std)

Sail Number

 Sailing Club

One Boat Registration:

One dinner is included!   $

US Sailing member? discount $5
yes no -$

# of Dinners @$6/each
(Veggie burgers will be available)
#  $

 $

send me notices about future VLSC regattas