IMPERIA GRAND PRIX 2024 – ITALIAN GRAND PRIX 4 LEG & EUROPEAN GRAND PRIX FINALS

Sail Number *

Boat Name *

Yacht Club *

Nationality *

Entry type *

Corinthian or Professional

HELLSMAN First Name *

HELLSMAN Last Name *

Contact phone number *

With Country Calling code (eg. +39 347 6484623)

Email *

Hellm Corinthian?

Corinthian or Professional

World Sailing Sailor ID

Crew 1 First Name

Crew 1 Last Name

Crew 1 Contact Phone Number

Crew 1 Email

Crew 1 World Sailing Sailor ID

Crew 1 Corinthian?

Corinthian or Professional

Crew 2

Crew 2 First Name

Crew 2 Last Name

Crew 2 Contact Phone Number

Crew 2 Email

Crew 2 World Sailing Sailor ID

Crew 2 Corinthian?

Corinthian or Professional

Crew 3

Crew 3 First Name

Crew 3 Last Name

Crew 3 Contact Phone Number

Crew 3 Email

Crew 3 World Sailing Sailor ID

Crew 3 Corinthian?

Corinthian or Professional

Indemnity Agreement *

I have read and understand the Indemnity Section

Each competing Dragon Owner(s) and competing crew shall ensure that they are insured with adequate, valid, third-party liability insurance including racing risk. All owners/competitors who sign/write their name at the bottom of the Entry Form are deemed to have made a declaration that they hold such cover.

IMPERIA GRAND PRIX 2024 – ITALIAN GRAND PRIX 4 LEG & EUROPEAN GRAND PRIX FINALS

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