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									                                       2009
                                 South Queensland
                       Invitational Match Racing Challenge
                                                     Hosted by
                                   MAROOCHY SAILING CLUB
                                                  at Mooloolaba
                                          13th and 14th June 2009

                            APPLICATION FOR ENTRY
SKIPPER:                                                    DOB: ….... /….... /…….
HOME CLUB:
Skippers address:


Skipper’s email (please print clearly):
Skipper’s contact ph:                                       Mob:
Skipper’s ISAF No:                                          Skipper’s Silver Card No:

I wish to apply for entry to:      OPEN                    WOMENS                     YOUTH
Please tick the above box or boxes (If approved by the Organising Authority to enter more than one division).


Please complete the following information:
The most recent MATCH or TEAMS RACING regattas in which I have competed as skipper:
   DATE                     EVENT                     VENUE                    CLASS                  RESULT




The most recent FLEET RACING regattas in which I have competed as skipper:
   DATE                     EVENT                     VENUE                    CLASS                  RESULT




DECLARATION: (Bring Originals to Registration and Weigh – In)
I agree to be bound by the racing rules of sailing and by all other rules that govern this event. Competitors
participate in the regatta entirely at their own risk. See RRS 4, Decision to Race. The organising authority and all
others involved in the management and conduct of this event shall not be liable for material damage or personal
injury or death as a result of participation or intended participation in this event.

SIGNED (Skipper):                                                                      Dated: ……. /……. /…….

If under 18 years of age please also have your parent or guardian sign below.
As parent or guardian I acknowledge the above and accept the responsibilities within.

SIGNED (Parent or guardian):                                                           Dated: ……. /……. /…….
                          PLEASE COMPLETE THE FOLLOWING PAGE (TO REGISTER CREW DETAILS)
                                      2009
                                South Queensland
                      Invitational Match Racing Challenge
                                                    Hosted by
                                  MAROOCHY SAILING CLUB
                                                  at Mooloolaba
                                         13th and 14th June 2009



                                       CREW DETAILS

              Name:                                                             DOB: ……. /……. /…….
CREW 1
              Home Club:                                                        Silver card No:


              Name:                                                             DOB: ……. /……. /…….
CREW 2
              Home Club:                                                        Silver card No:

              Name:                                                             DOB: ……. /……. /…….
CREW 3
              Home Club:                                                        Silver card No:


              Name:                                                             DOB: ……. /……. /…….
CREW 4
              Home Club:                                                        Silver card No:


CREW DECLARATION: Crew will be required to sign a declaration that will be contained on the confirmation
of entry form. This will be sent to all successful applicants.
Crew under the age of 18 will need to have their parent or guardian sign this form as well.



                                               SPONSORS

								
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