REGISTRATION FORM MUST BE RECEIVED WITH CHECK IN ORDER TO SECURE RESERVATIONS 
         ( print out this form and fill in by hand )

Junior Name _________________________________________  Date of Birth____________

Address___________________________________________________________________________

City:_____________________________St._________________ZIP______________

Parent/Guardian___________________________________________________________________

Phone Number (________ )_______________ Email: ____________________

Session_________________________________________

ASC Member    ___ Yes   ___ No

Amount Enclosed $_________          Make Check Payable to Augusta Sailing Club
Includes a $25 non refundable cancellation charge.

Medical emergency form and waiver will be mailed
Both forms must be completed before camp date