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ENTRY FORM
Nombre embarcación
Yacht name
Bandera
Flag
N° vela
Sail N.
GPH
Pais
Racing for (Nation)
Raicing for
CORINTHIAN DIVISION (Group 1 ISAF)
NON CORINTHIAN DIVISION
Club
Eslora
L.O.A.
Eslora en la flotación
L.W.L.
Manga
Beam
Calado
Draft
Tipo de embarcación
Yacht Type
Diseñador
Designer
Lugar de construcción
Yard Of Construction
Año de construcción
Year Of Construction
Rigging
Color del casco
Hull Colour
Propietario
Owner/Charterer
Dirección
Address
Ciudad
City
Pais
Country
Tel.
Tel. mobile
Fax
Email
Patrón
Helmsman
Dirección
Address
Ciudad
City
Pais
Country
Tel.
Tel. mobile
Fax
Email
N° de tripulantes
N° of Crew
Disclaimer
Competitors agree to be bound by International Sailing Federations Racing Rules of Sailing (RRS) 2005/2008, by the Sailing Instructions and the Notice of Race. Competitors agree to take any and all responsibility for the nautical qualities of their yacht, the rigging, the crew's ability, and the safety equipment.
Competitors also agree to take any and all responsibility for damages caused to third persons or their belongings, to themselves or to their belongings, ashore and at sea as a consequence of their participation in the regatta, relieving of any responsibility the Organising Authority and all persons involved in the organisation under whatever qualification and to accept full responsibility for the behaviour and dress of the yacht's crew, representatives and guests.
Competitors are to be acquainted with ISAF Part 1 Fundamental Rule 4: "The responsibility for a boat's decision to participate in a race or to continue racing is hers alone". In any case I agree that the Yacht Club Costa Smeralda, the Yacht Club Capri, the Farr 40 Class Association, the Swan 45 Class Association, the sponsors and their agents, in particular Rolex SA, have no responsibility for loss of life or injury to members or others, or for the loss, or damage to any vessel or property.
Photographs and TV Rights
Competitors hereby grant Rolex SA and the Organising Authority, the unrestricted right and permission to use the name and the text, photograph or video footage of either themselves or the yacht they are sailing during the event, to be published or broadcast whatsoever (including but not limited to Press and TV advertisements or Internet), for either editorial or advertising purposes or to be used in press information, in this respect, competitor's name and biographical material may also be used or reproduced in any way known.
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS, I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND WAIVER OF CLAIMS AND SIGN IT OF MY FREE WILL.
Signed
Owner/Charterer
Date
Signed
Relief Helmsman
Date
For acceptance of the Notice of Race rules and the regulations quoted in it
Signed
Name:
Signature:
Date:
ENTRY FEE
BANK TRANSFER
Copy Attached
Bank details:
Banco Bilbao Vizcaya Argentaria (BBVA)
Dr. Orfila, 9
07702 Mahón (Minorca) - Spain
Account Nº: 0182.5569.05.0209870003
IBAN: ES51
Swift Code: ESMMXXX
CREDIT CARD
PAYMENT
VISA
MASTERCARD
Card Number
Expiry Date
Cardholder's Name:
Contact number of cardholder
RATING CERTIFICATE ENCLOSED
YES
NO
ENTRY FEE ENCLOSED
YES
NO
ENTRIES TO ARRIVE NOT LATER THAN 1st MAY 2005.
Club Marítimo de Mahón
Moll de Llevant, 287
07701 Mahón
(Menorca - Baleares)
Tel. (+34) 971.36.50.22 · Fax. (+34) 971.36.07.62
Updated: 19-10-2005
Design: Grup Informàtic Menorca
Club Marítimo de Mahón
