<p> GOREY TO CARTERET ROWING RACE 25 th July 2015</p><p>Race Entry and Meal Ticket Form</p><p>Forms must be returned before the closing date of Sunday 28 th June 2015 to Nathalie Le Barz ([email protected])</p><p>TEAM INFORMATION</p><p>CLUB Jersey Rowing Club / Guernsey Rowing Club NAME OF SPONSOR TEAM CAPTAIN TEAM CAPTAIN CONTACT Mobile no: INFORMATION Home no: Email: TEAM CAPTAIN ADDRESS</p><p>BOAT NAME BOAT NUMBER COLOUR</p><p>CATEGORY (please tick as appropriate)</p><p>Type of boat Male Female Mixed Single Pairs Quad Other</p><p>SAFETY EQUIPMENT REQUIRED 1 1 life jacket per crew member 2 40ft of 6mm rope towline attached to the bow of the boat 3 Compas 4 Minimum of 3 flares / 2 handheld smoke 5 Sharp knife</p><p>TIMINGS ON SATURDAY 25 TH JULY</p><p>12h00 Start Doris 12h30 Start Singles Male / Female, Pairs and Quad Female / Mixed 12h45 Start Pairs and Fours male</p><p>GUARD BOAT INFORMATION</p><p>We offer a free marina space for the Guard Boat which is named on this entry form. It is important that the Guard boat is a minimum of 20ft long, capable and equipped for the rescuing of the whole crew. </p><p>Please ensure that they carry a VHF radio. Race VHF is 72</p><p>The Guard Boat for our team will be:</p><p>BOAT NAME COLOUR LENGTH (in metres) TYPE SKIPPER’S CONTACT Mobile no: INFORMATION Home no: Email:</p><p>The skipper (print name) ______of the above named Guard Boat agrees to safe guard the named rowing boat until they arrive in Carteret, and will tow the named rowing boat back to Jersey / Guernsey and will cooperate with the organisers. The rowing boat I am accompanying is :</p><p>BOAT NAME BOAT NUMBER</p><p>Signature of Skipper ______Thank you for your continued support, without your help, we would be unable to hold this race!</p><p>CREW ENTRY</p><p>NUMBER OF COMPETITOR TICKETS REQUIRED @ £20 EACH NUMBER OF SOCIAL TICKETS REQUIRED @ £10 EACH</p><p>TOTAL DUE £</p><p>All tickets must be paid in full at the Race Briefing on Friday 24th July in Sterling cash only (no cheques).</p><p>I/we the undersigned hereby agree that I/we shall participate in the race entirely at my/our own risk and I/we agree to hold the organisers and officials of the race harmless and indemnified against all claims and or loss, damage or bodily injury arising out of my/our entry in race.</p><p>N.B Each crew member must sign below and complete the passport numbers</p><p>NAMES OF CREW SIGNATURES PASSPORT TSHIRT SIZE NUMBER MALE / FEMALE 1 2 3 4 5 6 Cox</p><p>Please attached a copy of your rowing boat insurance certificate with this entry.</p>