2007 CYCC JUNIOR SAILING
PARTICIPANT REGISTRATION
Parent’s/Guardian’s Full Name: _________________________________________
Junior’s Full Name:
___________________________________________________
Age: _____
A participant must be at least 7 years old, a competent
swimmer, and provide his/her own USCG approved life vest.
Session and Date Applied for: ______________________
Payment Enclosed:
___________ (Checks only –
payable to CYCC)
Local Address:
_______________________________________________________
Permanent Address:
__________________________________________________
Local Telephone:
______________ Permanent
Telephone: __________________
Signature of Parent/Guardian: _______________________________
Please Return Form & Check to: CYCC
PO
Box 779
Wellfleet,
MA 02667
Attn: Sailing
PROPERTY LEFT ON
THE PREMISES