NSSA Regatta

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NSSA Regatta

Please fill in this form in full, so that I can complete the team entry form for Derbyshire. You can pay by bank transfer into the DYS account
Account name: Derbyshire Youth Sailing
Sort Code: 60 12 01
Account Number: 25119524

Entry Fee for Singlehanders Early Bird before 12th June £140 Late entry £150 (inc. all social events)
Entry Fee for Doublehanders Early Bird before 12th June £225 Late entry £235 (inc. all social events)

Please note the team entry needs to be submitted by the 12th June to qualify for the early bird discount, so please complete the form and make the bank transfer by 28th May (so I can complete the relevant forms)

Email *

Sailor's first name *

Sailor's last name *

Single/double hander Helm/crew

Helm of single hander

Helm of double hander

Crew of double hander

Clear selection

Boat Class eg Laser Radial, Topper

Sail number

Main or Rookie Fleet

Main

Rookie

Clear selection

Date of Birth

Male/Female

Male

Female

Clear selection

Medical information and medication being taken during regatta- please state none if none

Individual's NSSA Membership Number

Name of responsible adult accompanying sailor

Send me a copy of my responses.

Submit

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