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Registration Form

AUSTRALIAN RADIO YACHTING ASSOCIATION
ENTRY FORM
South Australian RC Laser State Titles 2021
at Port River Sailing Club April 10-11

Important Information - please read

When you complete your registration, an invoice will be sent to you for payment to secure your entry place. The entry fee is $50 up until 26/03/2021 and $55 after that date, which includes one entry to the 2021 South Australian RC State Laser Titles.
No further entries will be accepted after 11am on 10th April 2021.

Please read the Notice of Race (the rules).

BANK ACCOUNT for direct fee remittance:
BSB: 325 185  Account: 03336798  Account Name: MLMYC

FURTHER INFORMATION
For further information please contact Adrian Heard on 0427833324 or
This email address is being protected from spambots. You need JavaScript enabled to view it.

If you wish to pay by other means than direct deposit, please contact Adrian.


Please fill as many fields as possible.
Surname and Email fields MUST both have content.

ENTRANT:

*Surname       First Name
      

*Email:

Address:

City     State     Post Code
         

Mobile Phone - so we can contact you at the event

Sailing Club

Frequencies:  2.4GHz  Y/N         Other  

Boat Details:

Sail Number     Personal Number Y/N

Boat Registration Number  

Design   Designer


Indemnity:

I agree to abide by the conditions of the event as contained in the Notice of Race, Sailing Instructions, the Racing Rules of Sailing and any Notices published by the Sailing Committee.

All entrants taking part in this event do so entirely at their own risk:

The Australian Radio Yachting Association (Incorporated), The South Australian Radio Yachting Association, Mawson Lakes Model Yacht Club, Port River Sailing Club and any other parties involved in the organization of this event disclaim: “any and every responsibility whatsoever for loss, damage, injury or inconvenience that might occur to persons and goods, both ashore and on the water as a consequence of entering or participating in this event.  At all times the responsibility for the safety and themselves plus the decision to participate or continue must rest with the competitor.”

International Competitors / Non Australian Residents

I am a member of:
(insert DNM)
and hereby accept to become a Temporary Affiliate  Member of the Australian Radio Yachting Association for the period of this regatta in accordance with paragraph 3.2 of the Notice of Race: Y/N

I currently hold Public Liability Insurance Cover with a minimum of $20 million (AUD) per incident (or equivalent) and shall provide a copy of such cover to the Organizing Authority: Y/N

I accept these conditions.