Optional Sweatshirt Available for $35! 2016 Bellingham Youth Regatta Registration Form August 6-7, 2016 Click here to see a close-up version of this year’s logo for the T-Shirts and Sweatshirts. Skipper Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Birth Date (Youth)* MM DD YYYY Email* Enter Email Confirm Email Class*Select Boat ClassLaserLaser RadialLaser 4.7FJOpti RedOpti BlueOpti WhiteOpti Green29erOther ClassSail Number*Enter "X" if not known. A sail number must be provided to the RC before the first race so help us out by putting your sail number in now.Yacht ClubVegetarian Lunch OptionEnter Quantity - 1 per crew desiring a vegetarian lunch. If not specified, it is assumed you are OK with a meat sandwich.T-Shirt Size (Adult Sizes)*(XS-XL)Select SizeXSSMLXLCrew T-Shirt Size (Adult Sizes)(XS-XL)Select SizeXSSMLXLRelease StatementI agree to be bound by the International Yacht Racing Rules as adopted by US Sailing, including national prescriptions, except as modified by the organizers, and the race notice for this event. I further agree to hold harmless the Bellingham Yacht Club, its officers, representatives or race committee for damages or losses which I or anyone on my boat may incur which are associated with my participation in this event and related activities.Skipper Name*Date* MM DD YYYY Parent or Legal Guardian*Date* MM DD YYYY Regatta EntryRegistration*Entry fee includes 2 days of racing, T-Shirt for skipper and crew, on the water lunches, Saturday night dinner, Sunday afternoon pizza and awards. For Single and Double Handed boats, registration at the door will be an additional $15 per boat.Opti Green - $20.00Single Handed Entry - $45Double Handed Entry - $70Crew Name* First Last Additional Saturday Dinner Tickets Price: $10.00 Quantity: Additional T-Shirt - $15Select SizeXS - Add'l T-ShirtS - Add'l T-ShirtM - Add'l T-ShirtL - Add'l T-ShirtXL - Add'l T-ShirtAdditional T-Shirt - $15Select SizeXS - Add'l T-ShirtS - Add'l T-ShirtM - Add'l T-ShirtL - Add'l T-ShirtXL - Add'l T-ShirtOptional Sweatshirt - $35Select SizeXS SweatshirtS SweatshirtM SweatshirtL SweatshirtXL SweatshirtOptional Sweatshirt - $35Select SizeXS SweatshirtS SweatshirtM SweatshirtL SweatshirtXL SweatshirtBellingham Sailing Foundation - DonationBellingham Sailing Foundation - Supporting Youth Sailing Since 1988 The BSF is a non-profit 501(c)(3) organization supporting a community summer youth sailing (8-18) program run by the Bellingham Yacht Club (BYC), and Whatcom Community Sailing (WCS) or High School Sailing Team that is open to high school students in Bellingham, that provides sailing instruction and the opportunity to compete in regattas. Select Donation Amount$25 BSF Donation$50 BSF Donation$100 BSF Donation$200 BSF Donation$500 BSF Donation$1000 BSF DonationOther AmountOptional BSF Donation Amount Total $0.00 PaymentSelect Payment Method*Credit Card via Pay Pal (PayPal membership not required)Charge to BYC Account (Members Only)Check Please make checks (U.S. ONLY) payable to: Bellingham Yacht Club If paying by check, mail check and a copy of this registration to: Bellingham Youth Regatta Bellingham Yacht Club 2625 S. Harbor Loop Dr. Bellingham, WA 98225 This iframe contains the logic required to handle Ajax powered Gravity Forms.