ENTRY FORM

boxes marked with one * are obligatory

CLASS Handicap Group :
National letters and Sail number : Name of boat :

Helsman : Licence number :
*Name and first name :
Phone E-mail
Date of birth : Yacht club :
Crew N°1 : Licence number :
Name and first name :
Phone E-mail
Crew N°2 : Licence number :
Name and first name :
Phone E-mail
Crew N°3 : Licence number :
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.Date_________________________________to Lusigny sur Barse

Signing of helsman and crews::






Formular 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

HN and MICRO

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

Inscription Régates

Entry Fee €

*Accommodation in the Sport Centre in Troyes
30€ the double room with 2 breakfasts
Special conditions only for competitors participating in the French championship
(May 13-16th). Free accommodation for foreigners.

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:

rooms : double: triple:
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