ITRA National Championships Entry Form

ITRA National Championships Entry Form

17th - 19th of October, Fastnet Marine & Outdoor Education Centre
Click here for the Notice of Race
Your Name*

First NameLast Name
Your Email*
example@example.com
Your Phone Number

Area CodePhone Number
Team Name*
Club Affiliated with (optional)
Helm 1 Name*

First NameLast Name
Helm 1 DOB*

MonthDayYear
Date
Crew 1 Name*

First NameLast Name
Crew 1 DOB*

MonthDayYear
Date
Helm 2 Name*

First NameLast Name
Helm 2 DOB*

MonthDayYear
Date
Crew 2 Name*

First NameLast Name
Crew 2 DOB*

MonthDayYear
Date
Helm 3 Name*

First NameLast Name
Helm 3 DOB*

MonthDayYear
Date
Crew 3 Name*

First NameLast Name
Crew 3 DOB*

MonthDayYear
Date
Emergency Contact Name*

First NameLast Name
Emergency Contact Number*

Area CodePhone Number
The entry fee for the event is:
- €780 per team until the 14th of September
- €840 after the 14th of September
Please make payment to the Irish Team Racing Association using the following details:

Account name: Irish Team Racing Association

IBAN: IE60 AIBK 9335 7033 4431 87

BIC: AIBKIE2D

Once this is complete, upload proof of payment below (a screenshot is fine)
Proof of Entry Fee payment:*

Cancelof
Signature

Powered by Jotform SignClear
Should be Empty: