Laser Midwinter's East Entry Form
February 27 - March 2, 2003

Skipper Name  _______________________________________

Address  ____________________________________________

City, State Zip _______________________________________

Phone Number _______________________________________

Sail Number __________________________________________
Note; Class legal sail numbers only (see NOR)

Club Affiliation ________________________________________

Fleet:    Laser Full Rig      Radial     Laser II     4.7 rig

                                       (circle one)

Laser II Crew Name ___________________________________

Age Category:    Junior (<17)         Open (17-34)         Apprentice (35-44)
                               Master (45-54)    Grand Master (55-64)  
                               Great Grand Master (65+)                                  (circle one)

Male/Female:       (circle one)

Eligible for selection to the 2003 ISAF World Youth Championships _____ (Y/N)

The entry fee is $120 US for single handed entries and $180 US for double handed entries. A $30 late fee will be charged after February 20th, 2003. This includes lunch for the competitors on each race day, two dinners and a regatta souvenir.

Please make checks payable to Clearwater Yacht Club Youth Sailing and mail to:
Laser Midwinter's East, Clearwater Yacht Club, 830 South Bayway Blvd, Clearwater Florida 33767.