French Radiosailing Marblehead Class Championship

Club de Voile Angoulême Charente

10 to 13 novembre 2016

ENTRY FORM

I the undersigned / Skipper
Name: / First name:
Birthdate: / Licence:
Adress:
PostCode: / Town:
e-mail:
Country:
Tel: / Port:
Club: / Code club:
Sail N°: / Hull N°:
if 2.4Ghz, nick: / else, give 4 frequencies:
Frequency.1: / Frequency.2:
Frequency.3: / Frequency.4:
CVAC propose lunches (12 € people/day) – hot meal made by a caterer which
regularly works with the club.
In that case, thanks to reserve below:
Lunchs: / 09/11/2016 / put number of lunches / day
10/11/2016
11/11/2016
12/11/2016
13/11/2016
Total lunchs nb: / X 12€ = / (1)

Skippers' dinner

/ ( 1 included in Entry fee )
Extra dinners: / X 25€ = / (2)
Total of meals payment: / 1+2 (3)
No more reservation will be noted later without payment
Payment amount
Entry fee / (85 € or 100 € if payment after 10 october 2016)
Meals payment / Total of meals reservations (3)

Total

/ order check to CVAC, join it to Entry Form

"I aggree to submit to french "Règles de Course à la Voile" and to all other rules which manage this race."

by it's inscription, the subscriber accepts and permit free of charge :

Shots of the boat and it's skipper (aground as sailing) and use, diffusion and copy of it's image and name on all supports by the organiser, partners, FFVoile and/or cameramen or photographers accredited and all people autorised by the organiser and/or FFVoile.

Skipper's Signature following mention "Read and approved" :

This form have to be adressed at CVAC joined with paiement of Entry fee and optional meals, and parent’s authorization for minors,

-  By mail to: CVAC, Plan d'eau de la Grande Prairie 16710 Saint Yrieix with a check at the order to CVAC,

-  Or by e-mail to by returning this completed Form, and Bank transfer to : FR76 1558 9165 2106 3007 1014 095.

Media information - Skipper's honours list :