REGATTA ENTRY FORM

Inter-Schools Regatta

Date: Saturday, 1^st and Sunday 2^nd March, 2003 at Henley-Midmar Yacht Club.

Classes: Dabchick – Laser – Mirror – Optimist.

PLEASE COMPLETE THIS FORM IN BLOCK CAPITALS

School: ________________________________________________

Address: ________________________________________________

Sail number: Please enter alongside the class in which you are competing.

NB: If competing in the Optimist Class, please state whether High/Primary

School.

Dabchick: ______________________ Laser: _______________________

Mirror: _________________________ Optimist High School: ______________

Primary School: ______________

Helmsman’s Surname: _______________________________

First name: _______________________________

Home Address: _______________________________

_______________________________

Tel. No. ___________________ Date of Birth __________________

Crew’s Surname: ___________________________

First Name: ___________________________

Home Address: ___________________________

___________________________

Tel. No. __________________________ Date of Birth: __________________

INDEMNITY

Accordingly, please complete the following:

NAME:

I HEREBY GIVE MY CONSENT FOR MY CHILD TO PARTICIPATE IN THE NATAL SCHOOLS REGATTA ON THE UNDERSTANDING THAT IT IS AT HIS/HER OWN RISK AND THAT NO RESPONSIBILITY FOR ANY DAMAGE OR INJURY RESULTING THEREFROM SHALL REST WITH THE ORGANISING AURTHORITY OR ANY PERSON CONNECTED WITH THE RUNNING OF THE REGATTA.

SIGNATURE (HELMSMAN’S PARENT/GUARDIAN) ______________________

DATE _______________________

SIGNATURE (CREW’S PARENT/GUARDIAN) ___________________________

DATE:_______________________