Race Officialships Reimbursement Form

Please enter the following information for reimbursement for the seminar or workshop you attended.
Reimbursement is offered for the following:

One Day Race Management Seminar
Advanced Race Management Seminar
One Day Judge Seminar
Advanced Judge Seminar
Umpire Seminar

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US SAILING Membership Number First Name Last Name Address City State Zip Telephone  Enter a valid phone number. Example: 123-456-7890 Email Address  Enter a valid email address. Example: name@company.com Date of Birth (DD/MM/YYYY) College Sailing or High School Sailing Team Affiliation (If Any) Date of Offering Location of Offering Offering Attended One Day Race Management SeminarAdvanced Race Management SeminarOne Day Judge SeminarAdvanced Judge SeminarUmpire SeminarOther Approved Offering Cost of Offering Please note any other expenses which you would like to be reimbursed for. Documentation may be required. Please explain why these expenses should be reimbursed. Total reimbursement requested.

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