Name (required)

Last name (required)

ID (required)

Date of Birth (required)

Your email (required)

Cell (required)

Club (required)

Class in Charge (required)
Optimist Helmsmen

Medical Coverage (required)

Affiliate Number (required)

SUPPORT BOAT
(Indicate REY number or Name/ID)

HELPERS IN THE BOAT:

1. Name and Surname:

ID:

Cell phone:

Medical Coverage / Affiliate Number:

2. Name and Surname:

ID:

Cell phone:

Medical Coverage / Affiliate Number:

STUDENTS IN CHARGE: (required)

When you click SEND Wait a few seconds while all the data loads