ENTRY FORM

OPEN BELGIAN CHAMPIONSHIPS 2010 - 420, 470, Cadet, Fireball, Splash
Regatta: Snipe

18 - 19 September 2010 in Nieuwpoort Belgium

ENTRY FORM

National Letters and Sail Number
Class
Club
Helmsman Family Name
Helmsman 1st Name
Helmsman Sex
Helmsman Date of Birth	ddmmyyyy
Helmsman Licence Number
Helmsman Address	Street House nr Postcode Town
Helmsman Country
Crew Family Name
Crew 1st Name
Crew Sex
Crew Date of Birth	ddmmyyyy
Crew Licence Number
Crew Address	Street House nr Postcode Town
Crew Country
Insurance company
Policy number
Email
Mobile phone
Declaration	Declaration: The underwriter by sending this Entry Form by email agrees to be boud by the Racing Rules of Sailing of the I.S.A.F., by the Notice of Race, the Class Rules and the Sailing Instructions. All those taking part in the event do so at their own risk and responsability. The Organising Authority and all parts involved with the organisation of the event disclaim any and every responsibilty whatsoever for loss, damage, injury or inconvenience that might occur to persons and goods both ashore and at sea as a consequence of participation in the races covered by this Notice of Race.