Entry Form

48th Mosquito Catamaran Nationals

5th Jan 2020 to 10th Jan 2020
Adelaide SC, SA

Skipper:

Name:*

Email address*

Address*

Phone:*

Please specify your T-shirt size (refer to size charts below)

T-shirt size (women):

T-shirt size (youth/adult):

Date of Birth:

Sailing Club:*

Emergency contact:*

Emergency Phone:*

YA membership #:*

Crew:

Name

Phone

Please specify your T-shirt size (refer to size charts below)

Crew T-shirt size (women):

Crew T-shirt size (youth/adult):

Emergency contact

Emergency phone

YA membership #

Extra T-shirts ($30 each):

See size chart below

Number required

Sizes (women)

Sizes (youth/adult)

Extra Dinners:

Welcome BBQ ($15)

Presentation Dinner ($35)

Extra child orders can be made at the event

Mosquito:

Boat*

If your boat does not appear in this drop-down list please contact Tim Shepperd at tshepperd@gmail.com

Hull Colour

Heavyweight (65kg+)

Sailing mode

MkI

MkII

MkI Spinnaker

MkII Spinnaker

Insurance:

Insurance company*

Policy number*

Declaration
I agree to be bound by The Racing Rules of Sailing and by all other rules that govern this event.
I have third party insurance cover of not less than $AUD 10,000,000 for any accident and agree that the Organising Authority and all parties involved in the organisation of this event accept no liability for any loss, damage or injury which may occur to any person or property, whether ashore or afloat, as a consequence of participation in the event or otherwise.

Agreement*