Merlin Rocket 2017 National Championship Pwllheli, Wales.
12 – 18 August 2017 Organising Authority: Clwb Hwylio Pwllheli Sailing Club (PSC) in conjunction with the Merlin Rocket Owners’ Association ENTRY FORM PLEASE PRINT IN CAPITALS
PLEASE ENTER THE BOAT (NAME)...... SAIL NO...... HULL COLOUR...... SAILING CLUB...... HELM...... DOB IF UNDER 18 ...... ADDRESS...... TEL...... Mobile...... EMAIL...... MROA MEMBERSHIP No...... CREW...... DOB IF UNDER 18......
Please tick for eligibility for the following special trophies
Old Boats Prize First boat registered before 1 January 2000 (3571 and earlier) Abererch Trophy First helm over the age of 45 and under the age of 55 on the first day of the Championship Draycote Water Spring First helm over 55 years on the first day of the Championship Series Trophy Anniversary Trophy First helm under the age of 21 on the first day of the event. Minima Trophy First lady sailing the same boat throughout the Championship Neil Henderson Cup First helm and crew related by birth or marriage sailing in the same boat throughout the Championship Heavyweight Prize First helm and crew with a combined weight of over 26 stones sailing in the same boat throughout the Championship Ball and Chain Trophy First boat sailed by a couple not married or related by birth sailing in the same boat throughout the championship Centennial Trophy First boat with aggregate age of helm and crew over 100 King Cup First boat with aggregate age of helm and crew under 50
Fleet Selection
Please indicate whether you wish to be included in the:
GOLD fleet SILVER fleet BRONZE fleet
061ecd8106a116bfe3e97f28ffcf81f6.doc.1 Page 1 of 2 (Guidance on the appropriate fleet is on the Merlin Rocket Championship web page. The Organising Authority will ultimately scrutinize all entries and re-allocate if necessary)
061ecd8106a116bfe3e97f28ffcf81f6.doc.1 Page 2 of 2 IF A SAILOR IS UNDER 18, PARENT OR GUARDIAN DECLARATION IS REQUIRED.
PARENT / GUARDIAN DECLARATION
Under law, this sailor is my dependant, and I accept the liability clauses as given below.
Please tick one of the statements below
I confirm that I am responsible for my dependant throughout the event. During the time my dependant is involved in the event, I will be in or around the event venue.
I confirm that ……………………………….. will be responsible for my dependant throughout the event. During the time my dependant is involved in the event he/she will be in or around the event venue.
CONTACT DETAILS FOR THE PARENT OR GUARDIAN DURING THIS EVENT:
NAME: TEL:
MOBILE: RELATIONSHIP TO SAILOR:
ADDRESS:
PARENT / GUARDIAN SIGNATURE: DATE:
Entrants Medical Declaration
Entrants wishing to notify the safety team of any medical information that may be helpful in an emergency are invited to do so by passing a sealed envelope containing the relevant information to the registration team.
The envelope must be marked “Medical Info” and contain: your name, sail number of the boat you will be sailing in and stating if you are helm or crew., along with the relevant medical info.
This info will only be used in the event of any emergency and will be destroyed at the end of the event.
This declaration does not change in any way the entrant’s acceptance of the Disclaimer of liability contained in the entry form
DECLARATION By signing this form I accept that:
The boat sailed by me in the event will be covered by insurance which provides a minimum of £3 million third party cover for the duration of the event.
I grant to the Organising Authority and event sponsors without payment the right in perpetuity to make, use and show any motion pictures, still pictures and live, taped or filmed television of or relating to the event.
I agree to be bound by the Racing Rules of Sailing and all other rules that govern this race. In particular, I confirm that I have read the Notice of Race and accept its provisions and agree that my boat will conform to the requirements set out in the Notice of Race throughout the event.
I enclose the deposit/entry of: Entry fees per boat (entries received and paid by 1st July 2017): Deposit (Entry Reservation) – payable by 1st May (balance of fee as below due by 1st July 2017) £50 Standard entries: £180 Discounted entries: Helm 25 years or under (on 1st day of racing) £ 90 Older boats (3571 and below) £ 90 First time helms (who have not competed at a Merlin Nationals as helm or crew before) £ 90 Entry fees per boat (entries received after 1st July 2017): Standard entries: £ 210 Discounted entries (as above): £ 105
………. Tickets for Sunday Carvery @ £10 per person ………. Tickets for Informal Ranelagh Dinner – Thursday (2-courses) @ £8.50 per person
SIGNED:...... DATE:...... PLEASE MAKE CHEQUES PAYABLE TO MROA AND POST TO: Colin Brockbank, 49 Woodland Drive, Watford, WD17 3BY Payments can also be made by bank transfer; MROA account: 09-01-50 04337891 And entry forms emailed: [email protected]
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