Circolo Vela Arco

CAMPIONATO NAZIONALE MOTH

Please fill in your enty form with all requested information.
DATA FIELDS IN RED ARE UNAVOIDABLE!

BOAT CLASS:
NATIONAL LETTERS :			SAIL NUMBER:

HELMSMAN:
SURNAME:		FIRST NAME:

SEX:	M F	date of birth (ddmmyyyy):
Card F.I.V. n. or	Federation Card

STREET:		N.
ZIP CODE:		CITY:
STATE:		COUNTRY:
PHONE:		E-MAIL:

CLUB NAME:
STREET:		N.
ZIP CODE:		CITY:
STATE:		COUNTRY:
PHONE:		E-MAIL:


DO YOU SHOW ADVERTISING?	YES NO

This declaration must be signed
I hereby acknowledge that the Organizing Authority of the race, their officers, members and volunteers do not accept any liability for loss of life or property, personal injury or damage to property caused by or arising out of the above regatta, and that I take part in the regatta entirely at my own risk. I understand and accept that personal accident and health insurance is my sole responsibility. I agree to be bound by the ISAF Racing Rules of Sailing and the Class Rules as amended by the sailing instructions and the official race notices.