Entry Form

1. Boat Details

Boat Name *

Sail No. *

Class of Yacht

Length Overall *

Beam *

Draft *

Designer *

Division Entered *A Division $350B Division $350C Division $250E Division $250M Division $350Sports Boat $250Tornado $250Weta Class $250Young 88 $250Island Racing A $225Island Racing B $225Island Racing C $225Island Racing D (Non Spin) $225Island Racing E (Multihull) $225

NOTE: All entrants except those in A, B, M and Weta Division are automatically entered in General Handicap. You can also enter PHRF and/or IRC where these are offered for the division.

Entry of boat into chosen division is provisional, subject to confirmation by Organising Committee. Entry fee includes GST and crew levy. ON 1 JANUARY AN ADDITIONAL $75 LATE ENTRY FEE WAS INCLUDED IN THESE ENTRY FEES.

PHRF Handicap (inshore current)

PHRF Certificate No.

PHRF Cert Issue Date

IRC Handicap

NOTE: Copy of IRC Certificate must be provided. Boats participating in the IRC South Pacific Championship must have an endorsed IRC Certificate.

2. Personal Details

Skipper First Name *

Skipper Last Name *

Email Address *

Confirm Email Address *

Telephone (Home) *

Telephone (Work)

Mobile Phone for Contact During Regatta *

Postal Address *

Yacht Club Membership of Helmsman/Skipper *

3. Payment and Declaration

NOTE: Bank account details will be emailed to you on successful completion of this form.

Amount of Payment *

Method of Payment *Direct CreditCheque (Post to PO Box 45, Opua 0241)Cash

Comments

Declaration: I agree to be bound by 2017-2020 Racing Rules of Sailing and all other rules that govern this event. I understand that yacht racing has inherent risks and dangers that are beyond control of the Organising Authority. I declare that my yacht will be sailed in her usual trim, or I will notify the Organising Authority to the contrary prior to the race. I agree to the use of my photographs and other relevant information in any event publicity. I understand that neither the Organising Authority nor its officers, members and servants or other person assisting with the conduct of the event accept any responsibility in respect of injury or loss to person or property that may be sustained by reason of participation in the event or howsoever arising in connection with the event. I agree that any decision to start or continue racing is my own responsibility.

I agree to this declaration *

Name of Person filling in this form *