• NOTICE OF RACE

WE WILL PARTICIPATE

Online Subscription

Fill the following form on line and send it to Grand Prix organization by pushing the botton within May 10th 2011
All the fields are mandatory

Form 1 - Regatta Entry Form
First name:	Last name:
	Sail #:
Address:	City:
ZIP code:	Country:
Phone:	Email:
Member of which National Class Association?:	Membership #:
National Authority (Sailing Federation)?:	Licence #:
Date of Birth: 12345678910111213141516171819202122232425262728293031 123456789101112 20132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913
Class: Youth     Master     Grand Master	Weight: Light     Heavy
Payment: Youth (Euro 100,00)     Men/Women (Euro 120,00)
Agreement I agree to be governed by the ISAF Racing Rules, the relevant Class Rules, the Notice of Race and the Sailing Instructions and I accept the penalties assessed under these rules and such other action as may be taken hereunder, subject to such appeal and review procedures as are provided herein, as the final determination of any matter arising under these rules and I agree not to report to any court or tribunal not provided here in with respect to such determination. I accept that under RSS Fundamental Rule 4, it is my sole responsibility to decide whether or not to start or to continue to race or compete, and I agree not to report to any court or tribunal with respect to such a decision and its consequences. I agree
Form 2 - Parent or Legal Guardian's Consent
Competitor name:	Name of the responsible adult attending event:
Mobile phone number of responsible adult (inc country code):
Name of parent/guardian:	Address:
Mobile phone number (inc country code):	Daytime phone number (inc country code):
Evening phone number (inc country code):
Agreement I, the parent / guardian have legal custody of the minor. I hereby authorise the responsible adult to act as my nominated person at the championship. I agree that this authorisation shall remain in effect for the duration of the minor's participation in the championship and related activities and shall not be revoked before the end of the championship. Non-Liability of the club and the class I agree that in no event will the club or the class, their parent companies, affiliates, or the partners, owners, directors, officers, employees, agents and committee persons have any liability whatsoever arising from or in connection with any action or non-action of the responsible adult. I, the parent / guardian understand and agree to the terms of entry as detailed in the Notice of Race and sailing instructions and confirm that the "Agreement" in form 1 shall be binding on him/her. I further confirm that the responsible adult will accompany the minor for the duration of the championship . By signing I certify that I have carefully read, understand and agree to the above agreement and non-liability statement. I agree
Form 3 - Medical Treatment Permission
I (name)	being the parent or legal guardian of (competitor):
hereby authorise the following appointed person to give permission for my child to receive any emergency dental, medical or surgical treatment, including anaesthetic, as considered necessary by the medical authorities present, as defined in the Notice of Race and Sailing Instructions for the III Riccione 2011 Formula Windsurfing Grand Prix. I agree
Name of the responsible adult attending event	Mobile phone number of responsible adult:
Important medical history:
Last tetanus immunization date:
My child takes the following medicines:	My child has the following allergies:
My Child is covered by the following insurance company:
Policy No:	to the value of:
which allows     does not allow (please tick the relevant box) repatriation by special air taxi.
Person to contact in case of emergency in addition to above:
Address:
Mobile phone number (inc country code):	Daytime phone number (inc country code):
Evening phone number (inc country code):
Insert the code shown below*:
Autorizzo il trattamento e l'archiviazione dei miei dati personali nella Vostra banca dati e l'invio di materiale informativo, pubblicitario o promozionale, nel rispetto della legge sulla Tutela della Privacy n° 675/96. Per maggiori informazioni vedi il testo degli articoli 10, 11, 13 della legge N. 675/96 del 31.12.96 "Tutela della Privacy"
Competitor will sign the form once arrived on site.

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