ENTRY FORM

boxes marked with one * are obligatory

* Class and type:
National letters and Sail number Rating ISAF:


Skipper : Licence number : Yacht club:

*Name and first name :
Phone E-mail

Crew : Licence number : Yacht club:
Name and first name :
Phone E-mail

This declaration must be signed:

I agree to be bound by the ISAF Rules, the Sailing Instructions and the Class rules. I understand that the Organising Committee accepts no responsibility for loss of life or injury to members or others, or damage to any vessel or equipment.

I hold and wiIl produce a valid measurement certificate form. I declare that I hold a valid and current certificate of insurance which covers me whilst racing including third party liability cover (Minimum guarantee € million 4.5 ).

I pay the entry fee 35 Euros for 2 persons or 25€ for a simple boat.

Date_________________________________to Lusigny sur Barse

Signing of skipper:_________________________________Signing of crew:






Form to sign dices your arrival in: Club Nautique de la Haute Seine
BP 7 -10270 LUSIGNY SUR BARSE
Fax 03 25 41 53 19 e-mail : cnhs@wanadoo.fr

ACCOMMODATION FORM

CATAMARANS

Payable directly to the Club Nautique de la Haute Seine during the registration.

Registration

Entry Fee 35 Euros for 2 persons or 25€ for a simple boat €

*Accommodation in the Sport Centre in Troyes
30€ the double room with 2 breakfasts

April 2 Friday : Number of room : x 30€ = €
April 3 Saturday : Number of room : x 30€ = €
April 4 Sunday : Number of room: x 30€ = €

*Accommodation in the "Résidence des Lacs" in Mesnil St Père
24€ the night per person (single or double room) with the breakfast
Indicate the number of persons for every type of rooms: Single or double

rooms : single: double:
April 2 Friday : Number of people : + = x 24 € =
April 3 Saturday : Number of people : + = x 24 € =
April 4 Sunday : Number of people : + = x 24 € =

MEALS - Bag Lunch
sandwichs: 2 sandwiches (ham or cheese) + 1 fruit + 1 cereal bar
+ 1 drink (orange juice or beer or coca or water)

Saturday : 6€ x # person : x 6€ = €
Sunday : 6€ x # person : x 6€ = €
Monday : 6€ x # person : x 6€ = €


AMOUNT = €
Payment directly to CNHS

* For your attention: Booking minimum 7 days before the race
mail to: Centre Sportif de l’Aube 5 rue Marie Curie 10000 TROYES France
tél/fax 03 25 74 3706 e-mail: centre.sportif@cg10.fr mobile: 06 73 85 70 54