INTERNATIONAL LASER CLASS ASSOCIATION

LASER EUROPA CUP 2004
EUROPEAN LASER STANDARD, LASER RADIAL & LASER 4.7 YOUTH GRAND PRIX 2004
ENTRY FORM

Click HERE for an online entry form for the event in Italy

(This Entry Form is NOT valid for the Laser 4.7 Worlds & Europeans)

PLEASE PRINT THE FORM AND COMPLETE CLEARLY IN BLACK INK.
SEND ENTRY FORM TO ENTRY ADDRESS AS GIVEN IN NOTICE OF RACE.

NAME OF REGATTA                                                                                                                                      
        


 

Please tick as appropriate: 

MALE 

[__] 

      

FEMALE 

[__]

STANDARD 

[__]

LASER RADIAL 

[__]

        

      LASER 4.7 

[__]

FULL SAIL NUMBER IN ACCORDANCE WITH CLASS RULES                                      
        



FAMILY NAME       
  		 FIRST NAME                                                                 
ADDRESS       
    
  COUNTRY                                                     
TEL: HOME

TEL: OFFICE                                                     
MOBILE                                                     

 E-MAIL                                                     
FAX                                                                       DATE OF BIRTH
(day/month/year) 		                                                       
YACHT CLUB                                                                                                         

EVENT IN FRA (Hourtin)

Please reserve the following number of places at the Skipper's dinner (optional - not included in entry fee):

   

LIABILITY
I hereby acknowledge that the host club, the host National Authority, the International Laser Class Association, their officers, members and volunteers do not accept any liability for loss of life or property, personal injury or damage to property caused by or arising out of the above regatta, and that I take part in the regatta entirely at my own risk.
The establishment of the Notice of Race and the Sailing Instructions in no way limits or reduces the complete and unlimited responsibilities of a competitor being solely and entirely responsible for the management of a boat he or she is sailing.
I accept sole responsibility for my decision to participate in a race or to continue racing.
I agree to be bound by the Racing Rules of the ISAF and the International Laser Class Rules as amended by the sailing instructions and the official race notices.
I am of good health and a competent sailor capable of sailing a Laser in strong winds.
I understand and accept that I am wholly and exclusively responsible for third party liability insurance on the boat that I am sailing and for my personal accident and health insurance

[__]   I ENCLOSE FULL ENTRY FEE                 [__]  I WILL PAY FULL FEE ON ARRIVAL

SIGNED..........................................................    DATE..............................

Countersignature of Parent/Legal Guardian if under 18 years old:

SIGNED..........................................................    DATE..............................

PLEASE PRINT NAME CLEARLY........................................................................

Notice of Race
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