Owner's name (optional)

First Name

Last Name

Captain's name *

First Name

Last Name

Captain's phone *

Country

(###)

###

####

Invoicing address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Declaration *

By signing this entry form, the owner and captain agree to be bound by the terms of entry as stated in the rules and that we agree to the disclaimer of liability, the risk and responsibility provisions, the insurance requirements and all other requirements of a competitor entering this competition as provided for in the rules (including as they may be amended). We confirm that the information provided in this entry form is correct and up to date as of the date of entry.

Agree