Last Name *      First Name *      Middle Initial  

Name you go by     

Street *      City *      State *      Zip  

Phone (Home) *     Phone (Day)      Phone (Cell)   

E-Mail (public) * E-Mail (private--no public display of)

Boat 1 Class    Boat 1 Sail Number     

Boat 2 Class   Boat 2 Sail Number  

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Choose the type of membership you are applying for

First time skipper member of a multi-person boat -- $65 Renewing skipper member of a multi-person boat -- $90 Skipper member of a single person boat -- $60 Junior skipper (under 18 or full-time student) -- $25 Non-skipper (crew) membership -- $25 Life Member -- $900 Current Life or Honorary Member     

In the next step of the on-line application/renewal process you will be given
the choice of paying your dues using PayPal or sending in a check to our Treasurer

Donation to Commodore's Club for capital improvements  

WAIVER OF RESPONSIBILITY

On behalf of myself and crew, I agree to abide by the regulations and sailing instructions of the Potomac River Sailing Association (PRSA) when participating in any event sponsored or conducted by PRSA or any of its member fleets. In consideration for being permitted to enter any such event and for being accepted into membership in PRSA, and being knowledgeable of the risks of competitive sailing, and knowing that it is my sole responsibility to decide whether to enter or continue in any race, I voluntarily assume all risks associated with participation in such events hereby release PRSA, its fleets and officers and the people conducting the event from any liability in connection with any injury or damage that may occur.

  Check here your acknowledgement of Waiver of Responsibility

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