ONE DESIGN KEELBOAT

L26 CLASS OWNERS' ASSOCIATION

c/o KZN Class Association, P O Box 3923, Durban, 4000

Phone: (031) 304 8563 Fax: (031) 304 8560

E-mail: rudham@walsim.co.za

LIPTON CUP CHALLENGE SELECTION SERIES

ENTRY FORM

NAME OF YACHT: ………………………………………… SAIL NO. …………………………

SKIPPER’S NAME: ………………………………………… CLUB. ………………………….

ADDRESS: ……………………………………………….… PHONE: ………………………….

……………………………………………………………………. FAX: ………………………….

……………………….………………….………………………… EMAIL: ………………………….

CREW 1: ………………………………………………… ROLE: ………………………….

CREW 2: ………………………………………………… ROLE: ………………………….

CREW 3: ………………………………………………… ROLE: ………………………….

CREW 4: ………………………………………………… ROLE: ………………………….

CREW 5: (if applicable) ……………………………………… ROLE: ………………………….

ATTACH A COPY OF THE VALID CLASS MEASUREMENT CERTIFICATE (WITH THE BOAT WEIGHT RECORDED THEREON) TO THIS FORM

and

SUBMIT TOGETHER WITH THE ATTACHED INDEMNITY TO:

THE CHAIRMAN – KZN L26 CLASS OWNERS ASSOCIATION

c/o PAT POTGIETER at POINT YACHT CLUB

on or before 15^th March 2003

INDEMNITY

We jointly and individually agree to be bound by the I.S.A.F. Racing Rules of Sailing and all other rules covering this event and indemnify I.S.A.F., SAILING KZN, the L26 Class Association, the Royal Natal Yacht Club and Point Yacht Club and any other individual, club or organization associated with this event against any claim arising from loss of life or injury or for loss or damage to any equipment, vessel or personal property, before during or after this event.

SIGNED. …………………………………………(SKIPPER) DATE. ………………………….

SIGNED. …………………………………………(CREW 1) DATE. ………………………….

SIGNED. …………………………………………(CREW 2) DATE. ………………………….

SIGNED. …………………………………………(CREW 3) DATE. ………………………….

SIGNED. …………………………………………(CREW 4) DATE. ………………………….

SIGNED. …………………………………………(CREW 5) DATE. ………………………….

If any of crew are minors then this form must be signed by their parent or guardian.