'
National 125 Sailing Association

125 National Titles Entry Form


THE NATIONAL 125 ASSOCIATION - QLD Division

2008/2009

32nd National 125 Australian Championships - Form of Entry

Race Secretary: 125 Association of QLD, 7 Vermouth Place, Carseldine 4034

Important! Please read the instructions at the bottom of this form before completing to ensure validity.

Please enter the yacht listed below in the 2008/2009 National Championships in Division:    
Boat Name:Sail Number:Bow No:
Hull Colour:Sail Panel Colours:(Enter zero unless you have a
bow number from a previous event)

HELMSPERSON
First Name:Last Name:DOB:
Email:(Date in dd-mmm-yy format
eg. 01-jan-1975)
Address:Phone:
Member of:YA no.:
(Club affiliated with State Yachting Authority)
Contact address
during series:

FORWARD HAND
First Name:Last Name:DOB:
Email:(Date in dd-mmm-yy format
eg. 01-jan-1975)
Address:Phone:
Member of:YA no.:
(Club affiliated with State Yachting Authority)
Contact address
during series:

 
Cost EachQtyTotal
Entry Fee inc. Welcome Night and Presentation Dinner for Helmsperson and Crewperson$1800$0
Late Entry Fee (If entry lodged later than 21-Dec-2008)$2301$230
 Extra Tickets
 Welcome Night - Extra Tickets$15$0
 Presentation Dinner - Extra Tickets$40$0
 Mens Championship Polo Shirt
 Sizes: Each shirt size is the width in cm from seam to seam
 when the shirt is laid flat and measured under the armpits.
 Men's Shirt - Small 52cm$30$0
 Men's Shirt - Medium 55cm$30$0
 Men's Shirt - Large 58cm$30$0
 Men's Shirt - Extra Large 62cm$30$0
 Ladies Championship Polo Shirt
 Sizes: Each shirt size is the width in cm from seam to seam
 when the shirt is laid flat and measured under the armpits.
 Ladies Shirt - 8 (48cm)$30$0
 Ladies Shirt - 10 (50cm)$30$0
 Ladies Shirt - 12 (52.5cm)$30$0
 Ladies Shirt - 14 (54.5cm)$30$0
 Ladies Shirt - 16 (57cm)$30$0
 Ladies Shirt - 18 (60cm)$30$0
 Extra per shirt to embroider Boat Name (if received by 1/12/08)$6$0
Grand Total$230
Make cheques payable to: 125 Association of Queensland
or pay into: BSB No. 484 799 - Account No. 035 461 146 (Be sure to put the Entry Number or your Name in the Reference field)

I agree to be bound by the current RRS Rules, the Prescriptions and Safety Regulations of the A.Y.F. and the 125 Association Class Rules, all as modified by the Notice of Regatta and the Sailing Instructions. I declare that both my Forward Hand and I are financial members of the 125 Association and both are financial members of the sailing clubs as stated above. Furthermore, I declare that the boat described on this form is insured for at least $5 million against public liability. Also I absolve the members and committee of the 125 Association and the Marybrough Sailing Club from any Liability in case of accident to myself or others in my care.
I have read and agree to the above conditions
Signed:
(To be signed at the start of the event)
Date:

NOTES FOR COMPLETING THE RACE ENTRY FORM

Division A or B refers to the Open Division or the Family Division. In the Family Division, spinnakers are NOT allowed and you may nominate more than one Forward Hand for the series. Please note, a Division B series may NOT be conducted if there is an insufficient number of Entries.

Bow Number. If you already have a Bow number issued at a previous National Title Event, then enter it into this field, else enter zero and a Bow Number will be allocated at Registration time.

DOB: When entering your Date of birth, please use the following format 'dd-mmm-yyyy' for example, 12-sep-1978. Your date of birth will be checked to see if you are eligible for the 'Juniors' or 'Masters' series.

Address : Please enter your Home/Postal address as '# Street / Surburb / State / Post Code'.

Contact Address during series. Please try and make this address as meaningful as possible so that you can be contacted quickly in cases of emergency.

Member of: Enter the Full name of the club, followed by the club's registered initials. Example: 'South Lake Macquarie Amateur Sailing Club - SLMASC'

Payment Method If paying by cheque, please print a copy of this Entry Form and attach it to your cheque. If paying by Direct Deposit, then make sure you include the Entry Number provided in the reference field of your deposit.

  National 125 Association admin