Adra

Sprint 15 Nationals 2016

The entry fee for the regatta is £??? if paid on or before DD/MM/2016. An early entry discount will apply with a fee of £??? if paid on or before DD/MM/2016.

NB: Required fields have a red label.
This form is most easily filled in using a keyboard and mouse. Touch screen devices are best used in landscape mode. It is not advisable to use a small screen device such as a phone in portrait mode.

Personal Details

Name of Helm

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Crew Name

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Email Address

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Home phone No.

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Mobile No.

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Postal Address

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Postcode

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Motor Home Pitch

I would like more information about a pitch

Sailing Details

Sailing Club

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Sail Number

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Tick the following as appropriate:

Cadet

Under 18 on 1st January 2016

Junior

Under 20 on 1st January 2016

Veteran

Over 50 on 1st January 2016

Master

Over 60 on 1st January 2016

Lady

Lady competitor

Overseas

Overseas competitor

Payment

Information on
how to pay

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I have paid by card - over the telephone

I have paid by BACS

I have posted a cheque

Comments

Declarations

Invalid InputI agree to be bound by the Racing Rules of Sailing and all other rules that govern this event. In particular, I confirm that I have read the Notice of Race and accept its provisions and agree that my boat will conform to the requirements set out in the Notice of Race throughout the event.

Medical Conditions

Please let us know of any medical conditions that may affect you during the event. Please provide as many details as possible.

Date