Merlin Rocket

2015National Championship

Whitstable, Kent.

22 – 28August 2015

Organising Authority: Whitstable Yacht Club in conjunction with the Merlin Rocket Owners’ Association

ENTRY FORM

PLEASE PRINT IN CAPITALS

PLEASE ENTER THE BOAT (NAME)......

SAIL NO...... HULL COLOUR......

SAILING CLUB......

HELM...... DOB IF UNDER 18......

ADDRESS......

TEL...... Mobile......

EMAIL......

MROA MEMBERSHIP No......

CREW...... DOB IF UNDER 18......

Please tick for eligibility for the followingspecial trophies

Old Boats PrizeFirst boat registered before 1 January 2000 (3571 and earlier)

Abererch TrophyFirst helm over the age of 45 and under the age of 55 on the first day of the Championship

Draycote Water SpringFirst helm over 55 years on the first day of the Championship

Series Trophy

Anniversary TrophyFirst helm under the age of 21 on the first day of the event.

Minima TrophyFirst lady sailing the same boat throughout the Championship

Neil Henderson CupFirst helm and crew related by birth or marriage sailing in the same boat throughout the Championship

Heavyweight PrizeFirst helm and crew with a combined weight of over 26 stones sailing in the same boat throughout the Championship

Ball and Chain TrophyFirst boat sailed by a couple not married or related by birth sailing in the same boat throughout the championship

Centennial TrophyFirst boat with aggregate age of helm and crew over 100

Fleet Selection

Please indicate whether you wish to be included in the:

GOLD fleet SILVER fleet BRONZE fleet

(Guidance on the appropriate fleet is on the Merlin Rocket Championship web page. The Organising Authority will ultimately scrutinize all entries and re-allocate if necessary)

IF A SAILOR IS UNDER 18, PARENT OR GUARDIAN DECLARATION IS REQUIRED.

PARENT / GUARDIAN DECLARATION

Under law, this sailor is my dependant, and I accept the liability clauses as given below.

Please tick one of the statements below

I confirm that I am responsible for my dependant throughout the event. During the time my dependant is involved in the event, I will be in or around the event venue.

I confirm that ……………………………….. will be responsible for my dependant throughout the event. During the time my dependant is involved in the event he/she will be in or around the event venue.

CONTACT DETAILS FOR THE PARENT OR GUARDIAN DURING THIS EVENT:

NAME: / TEL:
MOBILE: / RELATIONSHIP TO SAILOR:
ADDRESS:
PARENT / GUARDIAN SIGNATURE: / DATE:

Entrants Medical Declaration

Entrants wishing to notify the safety team of any medical information that may be helpful in an emergency are invited to do so by passing a sealed envelope containing the relevant information to the registration team.

The envelope must be marked “Medical Info” and contain: your name, sail number of the boat you will be sailing in and stating if you are helm or crew., along with the relevant medical info.

This info will only be used in the event of any emergency and will be destroyed at the end of the event.

This declaration does not change in any way the entrant’s acceptance of the Disclaimer of liability contained in the entry form

DECLARATION

By signing this form I accept that:

The boat sailed by me in the event will be covered by insurance which provides a minimum of £3 million third party cover for the duration of the event.

I grant to the Organising Authority and event sponsors without payment the right in perpetuity to make, use and show any motion pictures, still pictures and live, taped or filmed television of or relating to the event.

I agree to be bound by the Racing Rules of Sailing and all other rules that govern this race. In particular, I confirm that I have read the Notice of Race and accept its provisions and agree that my boat will conform to the requirements set out in the Notice of Race throughout the event.

I enclose the entry fee of:

Entry before 1st Jul 2015/Helm 25 years or under on 1stday of Championship£87.50

Entry before 1st Jul 2015/Hull registered before 1st Jan 2000 (3571 and below) £87.50

All other entries received before 1st Jul 2015£175

All entries received after 1st Jul 2015£205

SIGNED:...... DATE:......

PLEASE MAKE CHEQUES PAYABLE TO MROA AND POST TO:

Colin Brockbank, 49 Woodland Drive, Watford, WD17 3BY

Payments can also be made by bank transfer and entry forms emailed: MROA account: 09-01-50 04337891

2015 entry form v1 Page 1 of 2