Carolina Yacht Club - Wrightsville Beach

Please complete the information below and click on the "Register" button. You will then be transferred to PayPal for payment. Please note that you do NOT need to have a PayPal account in order to complete the registration process. Online Registration can be accomplished thru May 14th . After April 23rd you must pay a $25.00 late fee.

First Name:	Date of Birth:
Last Name:	Gender:
Address:
City, State Zip	,
Phone:	Day: ( ) Evening: ( )
	Cell: ( )
Email

Boat Info:	Sail #:
	Category:
	Fleet:
Are you a member of the Laser Class?	Expiration Date:

Shirt Size:

Additional Saturday Dinners ($30 per person):

In Case of Emergency Contact?	Phone: ( )

	I hereby acknowledge that the host club, the host National Authority, the International Laser Class Association, their officers, members and volunteers do not accept any liability for loss of life or property, personal injury or damage to property caused by or arising out of the above regatta, and that I take part in the regatta entirely at my own risk. I understand and accept that personal accident and health insurance is my sole responsibility. I agree to be bound by the Racing Rules of the ISAF and the International Laser Class Rules as ammended by the sailing instructions and the official race notices.