2006 LASER RADIAL EUROPEAN CHAMPIONSHIPS

Laser Radial Womens Championship
Riccione, Italy, 9 - 16 June 2006

ENTRY FORM - WOMEN'S
PLEASE USE A DIFFERENT FORM FOR THE MENS & YOUTH CHAMPIONSHIPS

Please complete the entry form on screen and then click the SUBMIT button to send it by email. If a parental signature is required, please print this form and obtain signature prior to faxing or posting.
Electronic submission of this form will be taken as your acceptance of the terms and conditions outlined in it.

Please use the TAB key to navigate through the form.

ISAF Sailor ID No:

Male Female

If you do not have an ISAF Sailor ID Number, the number can be obtained from here:

Entry Code:

Please contact your National Laser Association to apply for one

Sail Number:

Family Name:

First Name:

Address

Town or City

County

Postcode or ZIP

Country

Country Code

Date of Birth

Weight(kg)

Age

Height(cm)

Tel (Home)

Country Code: Number:

Tel (Work)

Country Code: Number:

Tel (Mobile)

Country Code: Number:

Fax

Country Code: Number:

Occupation

TERMS OF ENTRY

I hereby acknowledge that Vela Club Marano, the Italian and International Laser Class Associations and their officers, members and volunteers do not accept liability for loss of life or property, or personal injury or damage caused by or arising out of the 2006 Laser Radial European Championships, and that I take part in the championship entirely at my own risk.

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 confirm that I am of good health and a competent sailor capable of sailing a Laser in strong winds, and it is my sole responsibility to decide to participate in a race or to continue racing.

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 agree to ILCA passing on my contact details, if requested, to regatta organisers or coaches.

I understand and agree to abide by the terms detailed above and I understand that the submission of this form via email will be taken as acceptance of those terms.
Please tick box to confirm acceptance of entry terms.

Signature (if sending by mail)

IF YOU ARE UNDER 18 YEARS OF AGE THE SIGNATURE OF YOUR PARENT OR GUARDIAN IS REQUIRED. IN ADDITION YOU MUST BE ACCOMPANIED BY A NAMED RESPONSIBLE ADULT

PLEASE PRINT THIS FORM AND, ONCE IT HAS BEEN SIGNED, SEND IT BY FAX (+44 1326 318968)
OR POST TO:
ILCA, PO BOX 26, FALMOUTH, CORNWALL TR11 3TN, UK

ENTRIES WILL NOT BE ACCEPTED FROM COMPETITORS UNDER 18 UNTIL THE APPROPRIATE SIGNATURE HAS BEEN RECEIVED.

I understand and agree to the terms of entry on behalf of the above named competitor for whom I am the parent/legal guardian.

I confirm that the following person is my nominated responsible adult at the championships:

Name:
Mobile phone number:

Name of Parent/Guardian
Signature		Date

NO FEES ARE REFUNDABLE AFTER THE ENTRY CLOSING DATE OF 05 MAY 2006
Before that date entry fees may be refunded at the discretion of ILCA after deducting 20% administration expenses.

PAYMENT:

Entry Fee:

130

English Pounds

*( Late Entry Fee:

English Pounds)

Full Payment Amount:

English Pounds

* applies after 05 May 2006
Click here to print a copy of the form

As entry has now closed, please contact ILCA for a code if you wish to apply for a late entry
Late Allocation Code:

METHOD OF PAYMENT: Please select one form of payment

CREDIT CARD Select and click submit to be directed to a secure online site for immediate entry and secure online payment.

INTERNATIONAL MONEY ORDER IN ENGLISH POUNDS by surface mail

UK CHEQUE (NO FOREIGN CHEQUES WILL BE ACCEPTED) By surface mail

FOR PAYMENT BY SURFACE MAIL: SEND THE FULL ENTRY FEE TOGETHER WITH A COPY OF THE FORM WITH AN INTERNATIONAL MONEY ORDER IN ENGLISH POUNDS OR UK CHEQUE, PAYABLE TO "ILCA", TO: I.L.C.A., PO BOX 26, FALMOUTH, CORNWALL TR11 3TN, UK

ENTRY CLOSING DATE 05 May 2006 (Late entries only by ILCA approval)

·        ENTRIES WILL ONLY BE ACCEPTED WHEN FULL PAYMENT IS MADE

·        LATE ENTRIES MAY BE ACCEPTED AFTER 05 MAY 2006 AT THE DISCRETION OF ILCA UPON PAYMENT OF A LATE ENTRY FEE OF £50 ENGLISH POUNDS.

·        EACH LATE PAYMENT WILL BE SUBJECT TO A £ 50 ENGLISH POUND LATE FEE

When you have checked the information above, please don't forget to hit the Submit Form button!

Failure to submit this form online will delay your entry and your place will not be guaranteed

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