Keelboat Entry Form

Notiice to Mariners 27-8-10

Department of Transport Temporary Speed...

Time Trial Amendment 28-8-10

Course 416 Date of...

Notices to Mariners 17-08-10

Changed Navigation Light Characteristics...

SI Amendment 4-8-10

Wednesday Afternoon Winter and Frostbite...

weather radar

Keelboat Entry Form

2010-11 SoPYC Keelboat Season

Person In Charge Information
Name of Boat Owner/Skipper *
Owner or Part Owner * Yes No
Nominating as Skipper * Yes No
SoPYC Membership Number *
Yachting Australia Silver Card Number *
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Email
Home Phone * (##) #### ####
Business Phone (##) #### ####
Mobile Phone (Do not use any spaces) *
RST Number
Alternate Helmsman (Optional - see SI 2.4)
Name of Boat Owner/Skipper
Owner or Part Owner Yes No
Nominating as Skipper Yes No
SoPYC Membership Number
Yachting Australia Silver Card Number
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Email
Home Phone (##) #### ####
Business Phone (##) #### ####
Mobile Phone
RST Number
Emergency Contact
Your Emergency Contact must be aware of when you are competing and be contactable.
Name of Emergency Contact *
Relationship *
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Home Phone * (##) #### ####
Mobile Phone (Do not use any spaces) *
Email
Boat Information
Name *
Sail Number *
Division/Class *
Marina Location (i.e. Jetty x, Pen x) *
Marina Compliance Number *
Marina Compliance Expiry Date *
Club events intending to enter;
It is important, for scoring purposes, that you tick each of the series in which you intend to compete Saturday Summer Series Wednesday Afternoon Summer Series Wednesday Winter Afternoon Series Twilight Series 2009 Frosbite Series
Boat Specifications
Length Overall (metres) *
Beam (metres) *
Draft (metres) *
Identification
Hull Material *
Topsides Colour *
Deck Colour *
Bottom Colour (Antifoul) *
Registration Number *
Description of easily distinguised feature/graphics
Auxiliary Equipment (tick if you have onboard) Depth/Echo Sounder Radar GPS 27meg Radio VHF Radio
Other Equipment
Insurance Details
Insurer (Please choose one from the list) *
If Other, please specify.
Policy Number *
Date of Expiry * / MM / DD YYYY
Public Liability Insurance *
A valid Certificate of Currency from your Insurance Company must be provided *

A valid insurance "Certificate of Currency" must accompany this form with submission.
Declaration As Skipper and Person in Charge of the Vessel I declare: * I have received the information listed herein provided by SoPYC in connection with my nomination to race: Notice of Race, Sailing Instructions, Emergency Contact Information and On-Water Safety Information included in the Red Book I have obtained a copy and read the ISAF Racing Rules of Sailing with particular reference to the YA Special Prescriptions I consider I am competent by my knowledge and experience to skipper the boat and I understand my obligations to my crew and other competitors the boat has valid insurance, including but not limited to 3rd Party insurance of at least $10,000,000 and that the policy will be kept current I am conversant with Man Overboard recovery procedures as detailed in the YA Special Prescriptions The boat complies and will be maintained in compliance with Category 7 requirements of the YA Special prescriptions My attention has been drawn to ISAF Racing Rules of Sailing, Rule 4 with states "Decision to Race - The responsibility for a boat's decision to participate in a race or to continue racing is hers alone"

Keelboat Entry Form

Person In Charge Information

Alternate Helmsman (Optional - see SI 2.4)

Emergency Contact

Your Emergency Contact must be aware of when you are competing and be contactable.

Boat Information

Club events intending to enter;

Boat Specifications

Identification

Insurance Details