WPNSA REGATTA JUNE 2007
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Regatta Entry Form 9-10 June 2007
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Boat Type |
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Sail Number |
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PYS |
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Helm |
Crew 1 |
Crew 2 |
Name |
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Home Address |
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Post Code |
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Telephone |
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Club |
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Social
There
will be a social on the Saturday evening with a two or three course hot
buffet and a cash bar (tickets will be issued at registration). This is
currently scheduled for 7pm although please confirm this on arrival. If
you would like tickets, please book them in advance by completing your
menu choices below and including a cheque for:
£13 for two courses (coffee an additional £1.50)
£16 for three courses (including coffee)
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Total |
Numbers |
Cost |
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Two Courses @ £13/ head |
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Three Courses @ £16/ head |
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Extra Coffees @ £1.50/ head (Coffee is not included with the 2 course meal) |
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Total |
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Menu Choices
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Course |
Options |
Number required |
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Starter |
Option 1 - Dorset Pate |
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Option 2 - Melon & Prawn Cocktail |
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Main |
Option 1 – Braised steak with Madeira and mushrooms |
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Option 2 – Poached salmon in a dill sauce |
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Option 3 – Spinach & ricotta bake |
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Dessert |
Option 1 - Raspberry Meringue |
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Option 2 – Rhubarb crumble & cream |
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Coffee |
Extra coffees @ £1.50/ head (ie, for those booking a 2 course meal) |
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Parent/Guardian Declarations: (Required for all helms and crews who are under 18 years of age)
Under law, this competitor is my dependent. I accept the Statement of Liability in the Notice of Race, which excludes the right to claim compensation in certain circumstances. During the event the boat sailed by my dependent will have a valid and current third party insurance of at least £2m. I confirm that my dependent is competent to take part. I will be responsible for my dependent throughout the event, and during the time he/she is afloat I will be available at the event venue, or I will inform the Race Office in writing who is acting in loco parentis.|
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Helm |
Crew 1 (if appt) |
Crew 2 (if appt) |
Name of Parent/guardian |
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Home address |
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Contact phone/mobile |
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Person acting in loco parentis (if applicable) |
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Contact phone/mobile |
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Signature of Parent/Guardian |
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Competitor Declaration: We agree to be bound by the rules as defined in the Racing Rules of Sailing, and all other rules that govern this event. We accept the Statement of Liability in the Notice of Race which excludes the right to claim compensation in certain circumstances. During the event we will hold a valid and current third party insurance of at least £2m.
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Signatures |
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Please send the completed form, with the appropriate entry fee (£26/ single handers, £29/ double handers) and social tickets (2 courses- £13; 3 courses- £16 including coffee) to WPNSA Regatta, Weymouth and Portland National Sailing Academy, Osprey Quay, Portland, Dorset, DT5 1SA Or Email-rosiejulian@wpnsa.org.uk
Cheques should be made payable to Sail Force Ltd.
Cheques should be made payable to Sail Force Ltd. Alternatively you may pay by credit or debit card. Please write the card details below and we will debit your card without a further signature.
Credit/ debit card details:
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Name on card: |
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Card Number: |
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Expiry Date: |
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Valid From: |
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Issue Number (if any): |
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Please debit the above amount of £ _________________ from my account |
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Signature: |
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