50th Mosquito Catamaran National Titles 1st Jan 2023 to 6th Jan 2023Gippsland Lakes YC, VIC Nats Entry Skipper Skipper Name * Email * Address * Phone * AS Number * Date of Birth (Youths) Sailing Club * Emergency Contact Name * Emergency Contact Phone * Crew Crew Name Crew Phone Crew AS Number Crew Emergency Contact Name Crew Emergency Contact Phone Mosquito Sail Number * Boat name * Hull colour * Heavyweight (65kg+) Yes Sailing mode * MkI MkII MkI Spinnaker MKII Spinnaker Insurance Insurance company * Policy number * Fees: Required fees are as follows: Class Fee Mosquito Mk I (with/without Spin) $280 Mosquito Mk II (with/without Spin) $370 After submitting this form you will be emailed payment details including the VMCA bank account details for payment. I agree to be bound by The Racing Rules of Sailing and by all other rules that govern this event. I have third party insurance cover of not less than $AUD 10,000,000 for any accident and agree that the Organising Authority and all parties involved in the organisation of this event accept no liability for any loss, damage or injury which may occur to any person or property, whether ashore or afloat, as a consequence of participation in the event or otherwise. Agreement * Yes If you are human, leave this field blank. Submit
