To Register:

1. Print out and complete the following forms:
a) Registration Form
b) Medical Emergency Authorization Form

2. Add your expenses:
Registration $190.00 , add a late fee of $30.00 if entry postmarked after July 6, 2004

T-Shirt Sizes: XS S M L XL XXL XXXL, Extra T-shirts @ $12.00
Tuesday's Clambake adult dinner(s) @ $30.00, Extra children @ $10.00
Thursday's Barbeque adult dinner(s) @ $20.00, Extra children @ $10.00

3. Write a check for the total amount payable to
BBYC 2004 Optimist Nationals

4. Mail Check, Registration and Medical Form to:
2004 Opti Nationals Registrar
c/o Bellport Bay Yacht Club
PO Box 254
Bellport, NY 11713