2005 LASER MASTERS EUROPEAN CHAMPIONSHIP ENTRY FORM All areas noted* must be filled !
Category * :
Laser Standard Apprentice
Sail N° * :
Country * :
Last Name * :
First Name * :
Date of Birth * :
dd mm yyyy
Address * :
Country * :
City * :
Zip Code :
Tel (Mobile) * :
Tel (Home) * :
Tel (Office) :
Fax :
E-mail * :
Yacht Club * ( no abreviation ):
Accomodation * :
I will come with my tent and stay on the site with people
I will come with a motor home and stay on the site with people
I will stay in a hotel/guest house at own charge with people
Entry fee * : - Entry Fee : 150 €
- Late Entry Fee : 175 € ( applies after sunday 17th July 2005 )
- Payment of Entry Fee can be made on site, provided the competitor has entered and
sent the complete Entry Form to be received by the entry closing.
- International competitors who enter on site without having forwarded completely
entry form by the entry closing date will be charged the late Entry Fee.
I will pay today the full entry fee on account Laser Master 2005
n° 310-198 31 76-97 or IBAN Nr BE 543 101 983 176 97
ING Swift adress : BB RU BE BB
I will pay the entry fee on arrival
TERMS OF ENTRY
The host Club, the host National Authority, the International Laser Class Association 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 2005 Laser Masters European Championship, and that I take part in the championship entirely at my own risk.
I agree to be bound by the Racing Rules of Sailing 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 UNDERSTAND AND AGREE TO ABIDE BY THE TERMS DETAILED ABOVE
