West Lancs YC Saturday 9th & Sunday 10th 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: £55 (including black tie evening meals) 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 40Helm & Crew = Married or Partners Helm & Crew total age over 100 Classic Nationals Trophy Eligibility (sail number lower than 22,000)
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 ChequeBACs 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.
