^{Day Race Online Registration Form}

^{Saturday, June 18, 2022}

Fill out form below

Entry Fee: $50.00. If you are a YRALIS member with your PHRF certificate already on-line, do not mail your certificate to NSYC

^{Mail check (and PHRF certificate if needed) to:}
^{North Shore Yacht Club

73 Orchard Beach Boulevard

Port Washington New York 11050

C/O Race Chairman}

Yacht Name*

Owner or Master*

First Last

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Mobile Phone*

Email*

Boat Type - Stock LOA*

Topside Color*

Rig*

Sail #*

PHRF Rating*

If not available, please enter "Not Available" above

Class*

Member US Sailing*

Yes
No

YRALIS PHRF Certificate Online*

Yes
No
Unknown

Club Affiliation

If no club affiliation, please enter "None" above

Comments

Payment Options*

I will pay the club in person or by mailing a check
I would like to pay online today using a credit card

Paying with credit card will incur a $1.80 convenience fee.

Day Race Entry Fee*

Price:

Credit Card Convenience Fee*

Price: $0.00

Total

$0.00

Credit Card

Card Details

Cardholder Name

By submitting this form you are accepting all the terms and conditions of the standard YRALIS entry form.

Phone

This field is for validation purposes and should be left unchanged.