4th & 5th October PAIR ENTRY FORM - ISS Team Racing Training Clinic Lough Derg
SCHOOL NAME
*
Province in which School in located?
Connacht
Leinster
Munster
Ulster
SCHOOL CONTACT
*
SCHOOL TELEPHONE
*
SCHOOL EMAIL
*
School Rep (Teacher/Parent)
*
TELEPHONE (Teacher/Parent)
*
EMAIL (Teacher/Parent)
*
Back
Next
Helm
Individual Competitor Information
Full name
*
Date of birth
*
-
Day
-
Month
Year
Date
Emergency Contact Name
*
Emergency Contact Phone number
*
Back
Next
Crew
Individual Competitor Information
Full name
*
Date of birth
*
-
Day
-
Month
Year
Date
Emergency Contact Name
*
Emergency Contact Phone number
*
Back
Next
Pair Representative (Must be over 18)
Individual Competitor Information
Full name
*
Email Address
*
Emergency Contact Name
*
Which are you willing to help with:
*
Shoreside
Afloat
Please indicate what previous experience you have assisting at events or any Irish Sailing Racing Officials Accreditation you may have. (If you volunteer to drive a rib, please bring your NPC Licence.)
*
Please download the following declaration and sign it.
Upload completed signed declaration form here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Consent Form
Helm Consent Form
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is this sailor a member of an Irish Sailing affiliated Club?
*
Yes
No
Crew Consent Form
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is this sailor a member of an Irish Sailing affiliated Club?
*
Yes
No
Back
Next
By signing this form you confirm the you have paid the associated cost of €170 for the event and Deposit. Please find payment details at https://www.ldyc.ie/event/schools-sailing-regatta
*
The Name / Reference appearing on the receivers Bank statement is:
*
Continue
Continue
Should be Empty: