Name (Please print)_____________________________________________________________________
Address ____________________________________________________ City ____________________
State____ Zip______ e-mail _____________________________________________________________
Tel (H)  (____) ____- _____  Tel (B) (___) ____- _____ Tel (C) (___) ____- _____

My sailing ability is  __ Novice  (0 -2 yrs) __ Intermediate (3-5 yrs) __ Advanced (5+ yrs)

My sailing experience _________________________________________________________________
Cruiser ___  Racer ____ Other _ _________________________________________________________
Sailing affiliation(s) _______________________________________________________________

SCHEDULE OF WORKSHOPS: You may choose up to 4 workshops, but only 1 on-the-water session.  
Cancellations subject to enrollment.                              X = session filled.   C = session cancelled

9:30 a.m.- 10:55 a.m.
__ Charting ----------------
__ Diesel Engine
C  Understanding Wind 
__ Night Sailing
__ Long-term Cruising
__ Reef, Flake & Fold*------
X  Boat Systems*
X What's on Deck?*

*on boat (PFD required)
--------------------------------

         9:30    - 12:30 p.m.
__  Crew Overboard
X   Sail Trim
X  Introduction to Sailing 

11:05 a.m. - 12:30p.m.
---------------------------->
__ Heave a Line
C  Understanding Wind
__ Suddenly Singlehanded
__ Long-term Cruising
----------------------------> 
__ Boat Systems*
X  Spinnakers*
__ Knots

  ON WATER COURSES 
         (PFD required)
 

-

1:40 p.m. - 3:05 p.m.
__ Finding a Fix --------------
__ Diesel Engine
__ Understanding Wind
__ Suddenly Singlehanded
__  Knots
__ Reef, Flake & Fold *---- 
X  Using Spring Lines
X  What's On Deck*

---------------------------------


1:40 - 4:40 p.m.
__ Crew Overboard
X  Take the Helm
X Introduction to Sailing
__ Introduction to Racing

3:15 p.m. - 4:40 p.m.
--------------------------->
__ Diesel Engine
__ Understanding Wind
__ Night Sailing
__ Knots
-------------------------  -> 
X  Boat Systems*
C  Spinnakers*

-------------------------------

MY SCHEDULE
First Choice:
  9:30 a.m.______
11:05 a.m.______
  1:40 p.m.______
  3:15 p.m.______
Second Choice:
  9:30 a.m. _____
11:05 a.m. _____
  1:40 p.m. _____
  3:15 p.m.______

Food Allergies:
_______________

___I would like the Vegetarian option for dinner  

PAYMENT OPTIONS:
CREDIT CARD   ___ Visa ___  MC   Card #___________________________________  Exp.Date ____/____  
Authorized Signature _______________________________________________________
OR CHECK payable to NWSA. Send form and payment to Women's Sailing Conference,
 c/o Joan Thayer, 24 Orne Street, Marblehead, MA 01945 (postmarked by 5/22/10)

In consideration of your accepting my registration form and fee, I agree to the following:
1. I will comply with all safety procedures and instructions including, but not limited to, equipping my boat with any and all USCG safety equipment and complying with any and all USCG regulations and requiring all on board my vessel, including me and my crew, to wear a personal flotation device at all times while on the water.
2. I release the NWSA, the Corinthian Yacht Club, their respective members, volunteers, sponsors, agents or committee personnel from any and all liability for any injury to me or yacht arising out of my participation in this event and all social events connected therewith, whether such loss is due to property damage including but not limited to my boat and/or any and all of its gear, personal injury or loss of life, even if such loss or injury is due to the negligence of any party so released.
3. I assume all risk of accident, loss of property including but not limited to loss of my boat and/or any or all of its gear and personal injury or loss of life arising out of my participation in this event and use of club facilities, due to failure or breakage of the yacht sailed on or any of its equipment and/or weather and sea condition. 
4. I understand that my name and e-mail address will be printed in the program, which will be made available to our sponsors unless I so indicate otherwise in writing to NWSA.                                                       Signature_______________________________________________________________________________________