Entry Form HENLEY MIDMAR YACHT CLUB

2

003 Youth Regatta

Name : ______________________Club : _____

Date of Birth : ___________ Novice : Yes / No

Crew : _______________________Club : _____

Class : ____________ Certificate : __________

Sail No. : _____ Boat name : ________________

E-Mail Address : _________________

I agree to be bound by the rules of the ISAF, the SA Sailing prescription thereto, this Notice of Race, the Sailing Instructions and the Rules of the Class Association.

________

I acknowledge that participation in this regatta is entirely at competitors' own risk and no responsibility for damage, injury or loss from participating in this regatta will rest with the Organising Authorities, Organising Committee, the Class Associations, the host Club, or any person or agent of these bodies.

Sign : ___________________ Date : ________

Please fax to Judy Gray, 033 3864612. Cheques to HMYC Junior Sailing Foundation