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Skipper |
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Crew |
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Applicant
Address: |
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Check all that apply.
A minimum of one check is necessary for eligibility.
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I certify that I am sight impaired at minimum of B3 as classified by the IBSA. |
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I have a current US Sailing 2005-2008 or US Sailing 2009-2012 Classification rating. |
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I have a current IFDS FCS 2005-2008 or IFDS 2009-2012 Classification passport and rating. |
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I certify that I have a permanent physical impairment (other than obesity) that substantially limits one or more life activities that has been diagnosed by a physician. |
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The following must both be checked in order to be eligible. |
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I certify that I have at least minimum sailing skills. (If there is a question on minimum, please inquire.) |
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I am prepared to substantiate any claim & membership at registration. |
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