Euralpro : Registry Form

INTERNATIONAL EUROPA CHRISTMAS REGATTA MARSEILLE 2003

Please print and fill in your enty form with all requested information and return to
USPEG Voile Marseille
Port de la Pointe Rouge
13008 MARSEILLE (FRANCE).
tel : 04 96 14 06 57
fax : 04 96 14 06 52
E-mail : uspegvoile.marseille@free.fr

NATIONAL LETTERS:

SAIL NUMBER:

SURNAME:

FIRST NAME:

SEX:	M F	date of birth (dd/mm/yyyy):
Card F.I.V. n.

STREET:		N.
ZIP CODE:		CITY:
STATE:		COUNTRY:
PHONE:		E-MAIL:
DO YOU SHOW ADVERTISING?	YES NO

CLUB
CLUB NAME:
STREET:		N.
ZIP CODE:		CITY:
STATE:		COUNTRY:
PHONE:		E-MAIL:

This declaration must be signed
I hereby acknowledge that the Organizing Authority of the race, their officers, members and volunteers do not accept any liability for loss of life or property, personal injury or damage to property caused by or arising out of the above regatta, and that I take part in the regatta entirely at my own risk. I understand and accept that personal accident and health insurance is my sole responsibility. I agree to be bound by the ISAF Racing Rules of Sailing and the Class Rules as amended by the sailing instructions and the official race notices.

NATIONAL LETTERS:

SAIL NUMBER:

SURNAME:

FIRST NAME:

SEX:

Card F.I.V. n.

STREET:

N.

ZIP CODE:

CITY:

STATE:

COUNTRY:

PHONE:

E-MAIL:

DO YOU SHOW ADVERTISING?