Name of Proposer:
Name of Seconder
SURNAME
FIRST NAME
ADDRESS (incl EIRCODE)
MOBILE TELEPHONE NUMBER
EMAIL ADDRESS
SURNAME
FIRST NAME
DATE OF BIRTH
ISA LEVEL
MOBILE TEL NUMBER >15 YRS
PARENT'S MOBILE NUMBER
PARENT'S EMAIL ADDRESS
FIRST SURNAME
FIRST NAME
ADDRESS (INC EIRCODE)
MOBILE TEL NUMBER
EMAIL ADDRESS1
SECOND SURNAME
FIRST NAME
ADDRESS (INC EIRCODE)
MOBILE TEL NUMBER
EMAIL ADDRESS
SURNAME
FIRST NAME
DATE OF BIRTH
ISA LEVEL
MOBILE TEL NUMBER > 15 YRS
EMAIL ADDRESS
SURNAME
FIRST NAME
DATE OF BIRTH
ISA LEVEL
MOBILE TEL NUMBER > 15 YRS
EMAIL ADDRESS
SURNAME
FIRST NAME
DATE OF BIRTH
ISA LEVEL
MOBILE TEL NUMBER > 15 YRS
EMAIL ADDRESS
CLASS
NAME
SAIL NUMBER (boats without a sail number will not be awarded points for racing)
Hull Colour
CLASS
NAME
SAIL NUMBER (boats without a sail number will not be awarded points for racing)
HULL COLOUR
CLASS
NAME
SAIL NUMBER (boats without a sail number will not be awarded points for racing)
HULL COLOUR
SIGNATURE
DATE
CLASS
NAME
SAIL NUMBER
HULL COLOUR
SIGNATURE
DATE