Alternative Entry Form Marathon Euro Masters 2013
This is the alternative Entry form for the Marathon Euro Master 2013. We recommend that you use the Registration form in the EurILCA web site (http://www.eurilca.org/index.php/sailor-registration). Use this form only if the previous method fails.
Sailor Information
ISAF Sailor ID *
ILCA Card Number
District *
Club code
Club Town *
Club Name *
Please type the full club name
Federation / MNA card
Mandatory only for MNA that require it
I confirm to be ILCA member for 2013
First Name *
Family Name *
Birthdate *
MM
/
DD
/
YYYY
Gender *
T-Shirt Size *
Address *
Country *
Zip Code *
Town *
Telephone Number *
Cell phone number *
E-mail *
Laser Information
Rented or chartered boat
National Letters
Hull Number
The sail number (no country letters, just digits) displayed on the hull
Sail Number
Class
Insurance
Company name
I declare that the Laser I'm sailing has a third part insurance covering damages for at least 1 milion euros.
Expiry date
MM
/
DD
/
YYYY
Coach Information
I have a coach with me
Coach first and family name
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