Member Information:
First Name*:   Middle Initial:   Last Name*:
Name you go by     
Street*:  City*:   State*:   Zip:
Primary phone*:   Secondary phone:
Primary E-Mail*:     Send me announcements & reports about PRSA events.
Secondary E-Mail:
  It is OK to give PRSA members access to my email & phone number.

Boat 1 Class:  Sail Number:
Boat 2 Class:  Sail Number:

* Note these fields are required
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

Emergency contact name: phone number:
Membership year*:
* The membership year runs from December 1 through November 30 and the membership dues are due on December 1. On or after January 15, a late fee of $25 will be added to the dues of returning members. First time skipper members of PRSA will receive a discount based on the month they are joining.

Commodore's Club (donation to fund for new boats):  
Payment:
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.
Comments about your application or anything you'd like the PRSA board to hear:

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