Fill out this form, print it, get doctor's signature, and mail with registration fee of $205 before June 1, 2001.
Eastern Shore Small Craft Institute 440 Polly Drummond Hill Road Newark, Delaware 19711
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Application Received _________________ Fee Paid _____________________________ ______ check ______ M.O. ______ cash Acceptance Mailed ____________________ Registration Complete ________________
Registrations should be made as soon as possible as they are honored in order of receipt. All courses are limited. The fee must accompany this application. There will be a $30 fee charged for all cancellations. No refunds after May 28. Make checks payable to Eastern Shore Small Craft Institute.