Gdynia DOUBLEHANDED Yachtrace 2016 Puchar Komandora YKP

Gdynia DOUBLEHANDED Yachtrace 2016 Puchar Komandora YKP

Gdynia DOUBLEHANDED Yachtrace 2016
Puchar Komandora YKP Gdynia
ENTRY FORM
fill with block letters
Yacht: ...........................................................................................................................................................................................
No on main (if applicable): ..............................................................................
Flag: .............................................................................
Home port: .............................................................................Armator: [ ]
Hull length [m]: .............................................................................
Skipper (name and surename, tel., e-mail): .................................................................................................................
Co-skipper (name and surename, tel., e-mail): ...........................................................................................................
Group:
ORC Club
OPEN
(delete unnecessary)
In the case there is not sufficient number of entrants in an ORC Club group:
☐ I agree to be claasified in an OPEN group, according to the hull length,
☐ I dissagree to be claasified in an OPEN group and give up the event.
OFFSHORE PLT, PLD (for ORC Club): ..................................................................................................................................
Yacht's insurance no:
.............................................................................
Valid until:
.............................................................................
Insurer:
.............................................................................
Hereby I declare that the information given in this form are true, I am enough qualified to sail the
above yacht on the sea of race, the yacht is sufficiently equipped with safety and signalling means
for offshore racing and I take part in the regatta solely on my risk and responsibility.
Hereby I declare that I resign my property rigts to my image and I entitle the Organizing Authority,
sponsors and media to use my image in their promotional materials and publications.
I agree my personal information be processed (according to Personal Data Protection Act of
29.08.1997) in concern with the organization of Gdynia DoubleHanded Yachtrace.
Entry Form
Date of issue: 18 Feb 2016
............................................................................................................................................................................................
date, signature (leave empty in electronic version, for for record purposes
a fact of sending this form will be treated as a signature)
Attachments (originals must be presented to the Organizer during yacht registration procedure)
☐ yacht's registration document
☐ yacht's insurance policy
☐ ORC Club certificate (applies to yachts of ORC Club group and must be presented during yacht registration
procedure)
Remarks:
 Yacht will be recognized an Entrant if the Organizer received a filled Entry Form and Entry
Fee before due date, data given in Entry Form was psitively verified
 During the registration procedure each skipper must handwrite the Entry Form.
 In the case a yacht is refused to participate in the event due to a negative verification of data
given in an Entry Form or failure to handwrite the form, the Entry Fee will be retained and
feed the Prizes & Trophies budget.
 Entry Fee will be paid to the Organizer's bank account.
 No cash payments will be accepted.
Additional information (to be sent to [email protected] by 31 of May 2016.
mail to be titled: "s/y [yacht] - additional information; GDY 2016"):
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skipper's face (.jpg format, max. 300x300 pix, filename = surename.jpg)
sailing achievements (max. 300 letters)
co-skipper's face (.jpg format, max. 300x300 pix, nazwa pliku = surename.jpg)
sailing achievements (max. 300 letters)
zdjęcie jachtu (.jpg format, max. 800x600 pix, nazwa pliku = yachtsname.jpg)
Organizer reserves a right to edit the photos for presentation purposes.
Entry Form
Date of issue: 18 Feb 2016