MIRROR WINTER SERIES 2010
Royal Windermere Yacht Club
Entry Form
Boat Number………………………………………………
Boat Name…………………………………………………
Hull colour………………………………………………...
Helmsman’s details
Name…………………………………………………………
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postcode . . . . . . . . . . . . . . . . . . . . .
Telephone number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .
Date of birth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sailing club . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Declaration
I agree to be bound by the Racing Rules of Sailing. I declare that during the event the boat will hold adequate insurance and in particular to hold insurance against third party claims in the sum of at least £2,000,000.
Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . ..
Crew’s Details
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Telephone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Date of birth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sailing club . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Declaration
I agree to be bound by the Racing Rules of Sailing.
Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . ..
Post to:
Mirror Winter Series
Royal Windermere Yacht Club
Fallbarrow Road
Bowness-on-Windermere
Cumbria
LA23 3DJ
Parent or Guardian Declarations
(Required if the helmsman or crew is under 18 years of age at the start of this event)
This helmsman or crew is my dependent and I am responsible for him/her throughout the event. I confirm that my dependent is competent to take part. .I accept the Disclaimer of Liability in the Notice of Race. During the time my dependent is afloat I will be at the Royal Windermere Yacht Club. Should I have to leave, I will inform the race office in writing who is acting for me during my absence.
Helmsman’s parent or guardian
Name in capitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Telephone number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .
Mobile telephone number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . ..
Crew’s parent or guardian
Name in capitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Telephone number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .
Mobile telephone number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . ..