BKOffshore @ Walibu Beach Club 22 + 23 August

BKOffshore @ Walibu Beach Club

=> 22 + 23 August @ Walibu Beach Club / Club Nautic Liège
Team

Team NameTeam Number
Discipline
Choose your type of Watercraft
Aquabike Class
ProCat Class
Powerboat Class
GT 15: the entry fee will be defined later on

F5 : the entry fee will be € 100
RACER : there is no entry fee for this demo
ProCat : The entry fee is € 125 per person per raceweekend untill August 10th

this includes safety people and rescue on water
Aquabike : The entry fee is € 125 per person per raceweekend untill August 10th

this includes safety people and rescue on water
Powerboat : The entry fee is € 200 per person per raceweekend untill August 10th

this includes safety people and rescue on water
Watercraft Builder
The brand of your Watercraft
Watercraft Type
The model of your Watercraft
Engine Builder
The brand of your engine
Engine hp
The Horsepower of your Engine
Insurance Company
Type the name of the company of your Insurance
Insurance Policy
Type the number of your Insurance Policy
Pilot Name

First NameLast Name
Pilot Date of Birth

DagMaandJaar
2 digit day, 2 digit month, 4 digit yearDatum
Co-Pilot Name

First NameLast Name
Co-Pilot Date of Birth

DagMaandJaar
2 digit day, 2 digit month, 4 digit yearDatum
Emergency Contact

First NameLast Name
Address

Street Address

Adresregel 2

CityProvincie

Postal/Zip codeCountry
Email Address
example@example.com
Phone Number

Country CodePhone Number
Signature
Should be Empty: