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26th to 28th
October 2002
To
be sent to
The Secretary, Murrays Bay Sailing Club
Class
______________________________________________________________________ Sail
Number______________________________
Boat
Name _______________________________________________________________________________________________________________
Helmsperson
Surname ____
Given names ________
Address ________
________
Telephone
work
home________
mobile
fax________
E-mail ________
Gender* (male/female)________
Date of birth* ________
Club ________
Nationality ________
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Enclosed |
Entry
fee of $___45.00______ |
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I agree to be bound by the Racing Rules of Sailing and
all other rules that govern this event.
I understand that neither the Organising Authority and its officers,
members and servants or other persons assisting with the conduct of the regatta
accept any responsibility in respect of any injury or loss to person or
property that may be sustained by reason of participation in the regatta or
howsoever arising in connection with the regatta. I agree to the use of my photograph(s) and other relevant
information in any event publicity and in the ongoing promotion of New Zealand
yachting. I agree to the Organising
Authority and Yachting New Zealand holding the above information for the
general administration and well-being of the sport, and for them to retain, use
and disclose the information to affiliated organisations and any other persons
or organisations that Yachting New Zealand believes will further the interests
and objectives of Yachting New Zealand.
I acknowledge my right to access to and correction of this
information. The consent is given in
accordance with the Privacy Act 1993.
Competitor’s signatures ________________________________________________
Helmsperson
Date ________________________________________________
For competitors aged
16 years and under, a parent or guardian must also sign on behalf of the
entrant in respect of the above declaration.
Parent or Guardian signature* _____________________________________________
Parent/Guardian
Date* __________________________________________________
This entry form (and enclosures) including the entry fee must be
received not later than 1700hrs, Friday 18th October 2002.