OFFICIAL ENTRY FORM

FRUIT PROPERTY
42nd INTERNATIONAL MIRROR CLASS AUSTRALIAN CHAMPIONSHIPS 2008

TO:
2008 Mirror Australian Championships
Honorary Treasurer IMCAT
c/- Mr John Behrens
53 Loatta Road
LINDISFARNE, TASMANIA. 7015

Please accept my entry for the 2008 Mirror Australian Championships.

SAIL NO: _____________________________ HULL COLOUR:___________________________________

BOAT NAME: ___________________________________________________________________________

SKIPPER: (Mr/Ms) _________________________________ YA Member No. _______________________

HOME ADDRESS: _______________________________________________________________________

EMAIL ADDRESS:_______________________________________________________________________

PHONE: ___________________ YACHT CLUB: _______________________________________________

FORWARD HAND: (Mr/Ms) ____________________YA Member No. ____________________________

DECLARATION
I agree to be bound by the International Sailing Federation’s (ISAF) Racing Rules of Sailing, the Prescriptions and Special Regulations of Yachting Australia, the Notice of Race, and the class rules of the International Mirror Class Association. I acknowledge the entry disclaimer contained in the notice of race and confirm that the boat entered has third party liability insurance cover of not less than $5,000,000.

Signature: _____________________________________ Date: __________________________

Note: If the skipper or crew member is under 18 years of age the following consent must be signed (one for each if both are under 18).

I ………………………………………………..of…………………………………………………………………..……….

being the parent, legal guardian or custodian of …………………………………………...consent to him/her participating in the 42nd International Mirror Class Australian Championships 2008 upon the terms and conditions set out in the Notice of Race and acknowledge the entry disclaimer contained in the notice of race.

Signature: _____________________________________ Date: ___________________

ENTRY FEE

The entry fee of $______ is enclosed. (Cheque Payable to “IMCAT”  ie. [International Mirror Class Association of Tasmania].
Closing date for entries is 7th December 2007. Entry fee is $180.

Late entries may be accepted until 1500 hrs on the 28th December 2007, subject to the payment of a late entry fee of $30.

CATEGORY CHAMPIONSHIPS

Approximate T-shirt sizes (include whether Adult or Child) ………………………………………………………………

Approximate extra numbers for Social Events ………….