Benelux Kampioenschappen - Entry Form
Please complete this entry form. Fields marked with * are required information, completing all relevant fields in this form is recommended. A copy of the Notice of Race for this venue can be found on www.beneluxkampioenschappen.eu .
BOAT - Class *
Please select one from the list
BOAT - Country Code *
three letter code as defined in RRS, Appx G
Your answer
BOAT - Sail number *
Your answer
TEAM - Yacht Club *
please use the INITIALS of your Club
Your answer
HELM - Name *
Last name & First Name
Your answer
HELM - F/M *
HELM - Date of Birth *
MM
/
DD
/
YYYY
HELM - Street & Nr *
Your answer
HELM - Postcode & Town *
Your answer
HELM - Country *
Your answer
HELM - Email *
necessary for possible further contact
Your answer
HELM - International Sail Licence *
as issued by your Federation
Your answer
CREW - Name
Your answer
CREW - F/M
CREW - Date of Birth
MM
/
DD
/
YYYY
CREW - Street & Nr
Your answer
CREW - Postcode & Town
Your answer
CREW - Country
Your answer
CREW - Email
Your answer
CREW - International Sail Licence
as issued by your Federation
Your answer
BOAT - Insurance Company Name *
Your answer
BOAT - Insurance Policy Nr *
a valid THIRD PARTY LIABILITY INSURANCE is necessary for the duration of the event
Your answer
Will You join us at the Barbecue? *
You're joining us at Barbecue with how many persons?
Will You join us at breakfast? *
You're joining us at breakfast with how many persons
COMMENTS
for instance - please inform us if a participant has any medical needs. This information is only used for the participants'safety and will be kept confidential.
Your answer
SUBMIT/Verzenden (can only be done by a parent if the competitors are minor) *
===DECLARATION=== : I agree to be bound by the Racing Rules of Sailing of the I.S.A.F., the Rules of K.B.Y.V., by the Class Rules, by the Notice of Race and the Sailing Instructions. I participate in the regatta entirely at my own risk and responsability. The Organising Authority and all parties involved with the organisation of the event disclaim any and every responsability whatsoever for loss, damage, injury or inconvience that might occur to persons and goods both ashore and on the water, before, during or after racing as a consequence of participation in the races covered by the Notice of Race. ===PRIVACY=== conform Belgian Law, the information submitted will be used exclusively for internal and administrative goals of the clubs, the classes and the federations and will not be disclosed to third parties. Upon simple request the information can be verified at the events-administrator. The applicants accept, in accordance with the law governing publicity by electronic correspondence, to receive emails concerning the events
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms