2017 Allen Masters Championship (Helm over 40)

Ogston SC
Saturday 10th & Sunday 11th June

*Helm's Name

Address

Postcode

Your Email

Membership no.

Telephone no.

Mobile no.

Crew's Name

Crew's Email Address

Crew's mobile no.

Sail Number

Dinghy's name

Entry fee: £45
Notes: Ages on this form refer to age at the date of the first race of the event. The helm must be a paid-up member of the Enterprise Association.
I am a member of club.

I am a paid up member of the Enterprise Association. I agree to be bound by the conditions set out in the Notice of Race, in particular the risk statement, that I have read and understood (on Enterprise Association website). I certify that the boat is insured for a minimum of £3,000,000 third party liability cover.
Signed: Date:

Please tick all appropriate prize categories below:

Lady Helm  Lady Crew 
Helm over 50  Helm over 60 
Helm over 70 
Crew under 16  Crew over 40 Helm & Crew = Married or Partners 
Helm & Crew total age over 100 
Classic Nationals Trophy Eligibility (sail number lower than 20,000) 

Note that parents or guardians of competitors under the age of 18 will be required to submit a signed parental consent form at registration. An optional medical form is available if required.

I would like to make payment via  Cheque BACs Transfer
Either send cheque to:-
Carol Ford, 56 Hurstville Drive, Waterlooville, Hants PO7 7NE
Please make cheques payable to 'The Enterprise Association' and write 'Helm's name' and 'Masters' on the back.
OR
Bank Credit Transfer:-
Sort Code 20-79-25
Account No 00341274
Bank Barclays Hamble
Please put 'Helm's name' and 'Masters' in reference field.

Please note: Clicking on the submit button will automatically email your completed form to the Championships Administrator.