Entryform

Entry form

I wish to participate in the following competition(s):
Belgian Open Championship (28/08 - 01/09) - EUR 300
Dragon Gold Cup (02/09 - 10/09) - EUR 650

Name of the boat *
Sail Number *
ISAF Plaque Number *
Club *
Owner
Name *
Home street and n° *
Postal code *
Location *
Country *
Home Telephone
Office Telephone
Mobile Telephone
E-mail *
Trailer registration plate number
Vehicle registration plate number
Crew
Name of the helmsman *
Country of the helmsman *
ISAF Sailor ID *
ISAF Classification *
Polo size *

Name of the 1st crew *
ISAF Sailor ID *
ISAF Classification *
Polo size *

Name of the 2nd crew *
ISAF Sailor ID *
ISAF Classification *
Polo size *

Name of the 3rd crew *
ISAF Sailor ID *
ISAF Classification *
Polo size *

Competitors who are sailing with a professional medical on board are politely requested to inform the race office of their cell phone number and leave their cell phone switched on at all times when at sea to be reachable in case of an emergency.

Name
Phone

Please select your method of payment below. *
Paypal
Bank transfer ¹

¹ IMPORTANT

To avoid underpayment please ensure that bank transfers are made free of all charges to the Belgian Dragon Association. Please advice us by fax (+32 59 340 289) or email (secretary@beldragon.be) of any bank transfer made, so that we can quickly identify payments into our account. Thank you.

Bank: ING
Leopold II Laan 276A
8670 Oostduinkerke
Belgium

Account name: Association Belge de la classe Dragon ASBL
Account code: 310-0491696-89
Swift code: BBRUBEBB
IBAN: BE45 3100 4916 9689

I agree to be bound by the Racing Rules of Sailing and all other rules that govern this event. In particular I have read Paragraph 12 of the Notice of Race and confirm that I agree to its provisions and that my yacht will conform to its requirements throughout the event. I confirm that I have a valid Third Party Insurance in place for the duration of the Regatta with a minimum cover of EUR 1.000.000 per event or the equivalent in other currency.

I confirm that I have paid my current annual subscription to my National Dragon Association.

Human verification: please enter the result of the following sum: *
4 + 4 =

* Required field

Entry form

Owner

Crew