REGATA NAZIONALE 29er - Registrazione individuale

Please enter information in the form below to process registration for event REGATA NAZIONALE 29er.

First Name Helm *

Last Name Helm *

Birth Date Of Helm *

Sex Of Sailor *

Country *

Class *

Sail Number *

Email *

Phone

Nr. FIV card (certificato medico valido) - only for Italians

Associazione di Classe

Dichiaro di essere iscritto e in regola con l'Associazione di Classe.

National Authority foreigners

I declare that I am in compliance with the requirements of the national authority of my country of origin regarding the Class Association.

Sailing Club *

Name & Surname Crew *

Birthday Crew *

Sex of Crew *

T Shirt Helm *

XXL

T Shirt Crew *

XXL

Coach Name & Surname

Coach Email

Parental Consent

Copy valid THIRD-PARTY insurance /FIV PLUS

INSURANCE *

I possess, or agree to purchase, third-party liability insurance to an amount of at least the amount stated in the Notice of Race.Proof of current insurance will be requested on site, send per email or to upload during registration.

EVENT REGISTRATION GENERAL DISCLOSURE *

I acknowledge that participation in this regatta is entirely at competitors own risk and no responsibility for damage, injury or loss to persons or properties occurring from participating in this regatta will rest with the Organising or National Authorities, Organising Committee, the Class Associations, the host Club, or any person or agent of these bodies. I declare that I am either the parent or other legal guardian of the above-named sailor or that I have been authorised by such a guardian to sign this document on their behalf.

RIGHT TO USE NAME AND LIKENESS *

In participating in this event any competitor automatically authorise the use of his/her personal data in compliance with Legislative Decree 196/03 and grants to the Organising Authority and the sponsors of the event the right in perpetuity, to make, use and show, from time to time and at their discretion, any motion pictures and live, taped or film television and other reproductions of him/her during the period of the competition for this event in which the competitor participates and in all material related to the said event without compensation.

Payment Information

Amount

€

Iscrizione ritardata

€

Gross Amount

€

Payment Method

Iscrizione singola

Payment Information