2020 Opti Camp Registration

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July 13 - 17
Times: Mon - Fri 9 a.m. to 5 p.m

Regular Registration until July 5: $400 member / $600 non-mem
Late Registration after July 6: $450 member / $650 non-mem

100% refund for program cancellations due to federal, state or local COVID-19 guidance.

Email *

Sailor's First Name *

Sailor's Last Name *

Sailor's Date Of Birth *

YYYY

Sailor's Gender *

Female

Male

2020-21 School Grade *

Sailor's Home Address *

City *

State *

Zip Code *

Mother's Name (Parent 1) *

Mother's Cell Phone Number *

Mother's Email *

Father's Name (Parent 2) *

Father's Cell Phone Number *

Father's Email *

Emergency Contact Name *

Relation To Sailor *

Cell Phone Number *

T-shirt Size *

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Other:

LYC Membership *

Member: Sailor is a child or a grandchild of a member

Non-Member: Sailor is a child of a non-member

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