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2008 WPNSA Regatta Entry Form
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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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E-mail |
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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:
£14 for two courses (coffee an additional £1.50)
£18 for three courses (including coffee)
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Total |
Numbers |
Cost |
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Two Courses @ £14/ head |
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Three Courses @ £18/
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 - |
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Option 2 - Melon & Parma Ham with Shaved Parmesan |
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Option 1 – Beouf Bourguignon |
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Option 2 – Salmon in Dill Sauce |
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Option 3 –
Roasted
Mediterranean Vegetable Bake |
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Dessert |
Option 1 - Raspberry Pavlova |
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Option 2 –
Roasted
Rhubarb Crumble |
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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 (£28/ single handers, £32/
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- reception@wpnsa.org.uk
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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