Sabre 2011 Victorian State Championships Entry Form
Save some paper and postage.  Enter the 2011 Sabre Victorian State Titles online.  Please read the Notice of Race before completing this form. Note: Competitors entering online will be required to sign the competitor declaration at the time of registration.
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Surname *
Given Name(s) *
Address *
Postcode *
Sail Number *
Boat Name *
Email
Telephone
Club *
The club must be affiliated with the State or National Yachting Association.
Divisions
Select all that apply
AYF Membership Number *
Date of birth *
Sex *
Emergency Contact (Name) *
Emergency Contact (Phone Number) *
Medical conditions we should know about?
Your size for the event polo *
I confirm I have read the Competitors Declaration in the entry form contained in the NOR and  I (or my gardian if under 18) will signed this at the time of registration. *
Required
Entry Fee *
See NOR (last page) for more details.
Extras
Extra tickets for partner or friend at Satureday night social event (Adult: $22, U16: $11).  Enter numer of extra adults and children
I confirm that my entry plus any extras will be paid in full by cheque or bank transfer using instructions provided in the NOR. *
Account: : Sabre Sailing Association of Victoria Inc; BSB: 033047; Account: 136328; Reference: [Your sail number]
Required
I understand that if my entry is late, I might not get an event polo :-(
May apply to entries submitted after 1st Feb 2011
Submit
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