ENTRY FORM

EXMOUTH YACHT CLUB
AMERICA’S CUP  REGATTA
SAT- FEBRUARY 28th & Sunday March 1st 2009
Please enter my yacht in the 2009 AMERICA’S CUP REGATTA

ENTRANT DETAILS:

SKIPPERS NAME: _________________________________

ADDRESS: ______________________________________

Suburb: ___________ State:______ Post Code:______

PHONE: Home:___________E-mail:___________Mobile: ___________


YACHT DETAILS:

Class: _______________         Yacht Name:________________

Sail No:_______________      Club (if any): _______________

Race Entered: Division _________________ (to be completed by race committee)

Has yacht been modified?    Yes / No         (strike out whichever DOES NOT apply)

If ‘Yes’ explain modifications: ________________________________________

Nominated country flag for the America's Cup:____________________________

………………………………………………………………………………………...
Entry Fee:  - $50.00 ( Includes entrance in all 5 races and breakfast on Sat and Sun mornings)
I agree to abide by the Racing Rules of Sailing and by all other rules that govern this event.

Entrant Signature: ________________          Date: ____________
Please complete and return to: Alan Brockman  sail@exmouthyachtclub.org or Secretary  EYC, PO Box 190 Exmouth 6707.
Money to be paid on arrival at EYC at Registration Table.
Office Use Only:
Signed by
EYC Receiving Officer: ____________________ Paid:         Yes / No 

(Strike out whichever DOES NOT apply)