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South East Power Boat Rally Entry Form

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Southeast Power Boating Rally

http://southeastpowerboating.com/

Sunday 25th July 2010

Courtown Sailing Club

Entry Form

 

Helm                                         Crew                                      
Name
Date of Birth
Telephone

 

Boat Type:      _______________

 

Boat Name:     _______________

 

DECLARATION:

I wish to enter the above named boat in the Southeast Power Boating Run 2010. I agree to be bound by the Racing Rules of Sailing, and all other rules that govern this event. I accept full responsibility for the management and safety of the boat noted

above and I also accept that neither Courtown Sailing Club, its members and its representatives shall accept any liability for material damage or personal injury or death in conjunction with or prior to, during, or after the event. I further declare that I hold a valid and current Certificate of Insurance with adequate third party cover. I also agree to carry adequate insurance for the above boat, equipment and crew with minimum third party liability of €1,300,000 or equivalent which includes cover while racing.

 

Helm Signature:          ____________________                    Date:   ______________

 

Crew Signature:          ____________________                    Date:   ______________

 

 

Signature of Parent or Guardian of Helm (if under 18): ______________________

 

Signature of Parent or Guardian of Crew (if under 18): ______________________

 

 

Please return completed entry form to the race office by 0900hrs on Sunday 25th July