4th & 5th October PAIR ENTRY FORM -Team Racing Training Clinic Lough Derg
PAIR NAME
*
Adult Representative
*
TELEPHONE (Adult Representative)
*
EMAIL (Adult Representative)
*
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Helm
Individual Competitor Information
Full name
*
Date of birth
*
-
Day
-
Month
Year
Date
Emergency Contact Name
*
Emergency Contact Phone number
*
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Crew
Individual Competitor Information
Full name
*
Date of birth
*
-
Day
-
Month
Year
Date
Emergency Contact Name
*
Emergency Contact Phone number
*
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Adult Representative (Must be over 18)
Individual Competitor Information
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.)
*
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Consent Form
Helm Parent/Guardian Consent Form
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Is this sailor a member of LDYC?
*
Yes
No
If 'No' then temporary membership of LDYC for €10 must be purchased at registration to cover October 4th and 5th. Please enter Sailors name who is applying for temporary membership.
Crew Parent/Guardian Consent Form
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is this sailor a member of LDYC?
*
Yes
No
If 'No' then temporary membership of LDYC for €10 must be purchased at registration to cover October 4th and 5th. Please enter Sailors name who is applying for temporary membership.
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I confirm the I 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
Yes
No
The Name / Reference appearing on the receivers Bank statement is:
*
Submit
Should be Empty: