MCASA State Championships Entry – National Mosquito Catamaran Council

This season’s states will be at Adelaide Sailing Club, on the March long-weekend (March 11-12th). The Notice of Race (NoR) can be down-loaded here.

MCASA State Titles Entry

Skipper

Skipper Name

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)	$30
Mosquito Mk II (with/without Spin)	$30

After submitting this form you will be emailed payment details including the MCASA 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