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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
................................. |
Crew..........................................................................................................
Gender.............................. Dateof Birth .................................................. Address
................................... |
| 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 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.
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 |