Mirror Zone Squads 2007/8 Selection - Open Training Events 2007

Combined Helm & Crew Entry Form - Fee £20 per boat

Boat Name.............................................................Sail Number..........................................Registered Club.............................................................

Chichester 1st Sept £20.............Whitstable 9th Sept £20.............Hollingworth 23rd Sept £20.............Sutton Bingham 13th Oct £20.............. Indicate which event you're attending. Also insert MCA membership number here {or if application has been made} (helm)............. (crew).................

Helm..........................................................................................................

Gender.........................Dateof Birth........................................................

Address…………………………………………….................................
…………………………………………….….………..………………..
………………………….................................Post Code………………
e-mail…………………………………………………............................
Tel 1………………………………………………….............................
Tel 2………………………………………………….............................

Crew..........................................................................................................

Gender.............................. Dateof Birth ..................................................

Address……………………………………………...................................
…………………………………………….….………..………………….
…………………………...................................Post Code………………
e-mail…………………………………………………..............................
Tel 1…………………………………………………...............................
Tel 2…………………………………………………...............................

Health Each sailor is required, where applicable, to complete a medical advice and consent form and hand it to the Head Coach at the beginning of the event and ensure the participant has the necessary allergic medications available.

Disclaimer of Liability
Participants are entirely responsible for their own safety, whether afloat or ashore, and nothing reduces this responsibility. It is for participants to decide whether their boat is fit to sail in the conditions in which it will find itself. By launching participants confirm their boat is fit for those conditions and they are competent to sail in them. Nothing done by the organisers can reduce the responsibility of the owners and/or participants, nor will it make the organisers responsible for any loss, damage, death or personal injury, however it may have occurred, as a result of the boat taking part in the training. The term "organisers" encompass everyone helping to run the event. The provision of patrol boats does not relieve owners and competitors of their responsibilities. I understand that the Mirror Class Association, the Club and the RYA cannot accept liability for any injury, loss or damage sustained whilst taking part in these activities.

Participant Declaration I declare that during the event the boat to be sailed will have valid and current third party insurance of at least £2,000,000. I accept the Disclaimer of Liability above, which excludes my right to claim compensation in certain circumstances. I accept that good behaviour is a fundamental condition of participating and that the organisers have the right to exclude any sailor in violation of this requirement.

Parent/Guardian Declaration (for U18 sailors) As Parent/Guardian, I give permission for the participants named to take part in the events listed. I declare that during the event the boat to be sailed will have valid and current third party insurance of at least £2,000,000. I accept the Disclaimer of Liability above, which excludes my dependent's right to claim compensation in certain circumstances. I accept that the good behaviour of me and my dependant is a fundamental condition of participating and that the organisers have the right to exclude any sailor or parent/guardian in violation of this requirement. I confirm that I, or a nominated locum will be in attendance throughout the event.

Helm declaration

Signed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .............................................

Print…………………………………………………................................

Parent/guardian declaration

Signed..........................................................................................................

Crew declaration

Signed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..................................

Print……………………………………………………..........................
Parent/guardian declaration

Signed.........................................................................................................

Please send one cheque made payable to: MCA Training Account and to arrive 14 days before the event to:

John McNulty - The Firs, Kitnocks Hill, Curdridge, Hampshire. SO32 2HJ :+: fourfirs@btinternet.com