INITIAL ENROLMENT FORM ICCA 2017

Yes, I am interested in participating with a team in the ICCA regatta 2017.

Team name:
Skipper's name:
Agency/Service:
Correspondence address:
Telephone number(s):
E-mail address:
Boat leaders licence of competence:
Licence of competence for VHF GMDSS station:

(also fill in the Declaration of Experience, on the following page)


DECLARATION OF EXPERIENCE

for participation in the ICCA 2017

Competing in the ICCA is not the same as a relaxed holiday. We really need to return the boats undamaged! So please answer in full honesty.

For rent a boat in Croatia the skippers (or one crew member) need an official sailing licence (Boat leaders licence of competence) and Licence of competence for VHF GMDSS station.

The skipper of the team needs to fill in this form.

Team:
Skippers name:
Age:
How long have you been sailing?
Sailing dinghy:
Coastal cruiser:
Offshore cruiser:
Racing: / ___ years
__ years
__ years
__ years
Do you own a sailing yacht or have you owned one
NO: / / / /
YES: / Type of yacht:
List the (most important/prestigious) races you have done in the past
Race: / Year: / Result:
List any additional cruises you have sailed
Year / Route: / Type of yacht:
Are you familiar with: / Yes / No
-  Navigation
-  Charts
-  Compass
-  Anchoring
-  Spinnaker sailing
-  VHF/DSC/GMDSS
-  IYRR

Do you have any sailing / navigation etc. certificates (please give details):

I certify that this information is correct and it is my understanding that if the ICCA race committee is convinced at the time of the start or during the event that I’m not capable of skippering a yacht at the ICCA regatta, withdrawal from the races will be the result.

Date:______

Skipper's signature:

______

Please return these forms in an email to asap please.