Lake City Yacht Club
Sail Leukemia Registration
  * Denotes Required Field
* First Name
* Last Name
     
Address
City
State Zip
     
* Phone Number
* Email Address
     
Number of People Sailing: (Note: Groups larger than 6 may be separated)
* Adults: * Children (10 years and younger):
     
Special Request:
Boat; Skipper; Special Needs
     
* Preferred Sailing Time:
(Please plan to arrive 30 minutes prior) 		 
 

Saturday

Sunday







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