Entry Form Europa Cup Netherlands Sailors must first make an application on the eurilca website. go to eurilca website Europa cup Insurance* Yes No Measurement form* Yes No Membership* yes no Sailor's name* Sailor's forename Sailor's surname Sailor's Email* Date of birth* DD MM JJJJ Class*Laser StandardLaser RadialLaser 4.7Class number*Category*Club name*ISAF ID*Gender*MaleFemaleCoachCoach cellularCoach email LiabilityI hereby acknowledge that the host club, the host National Authority, the EurILCA, their officers, members and volunteers do not accept any liability for loss of life or property, personal injury or damage to property caused by arising out of the above Race, and that I take part in the regatta entirely at my own risk. I agree to be bound by the Racing Rules of the ISAF/World Sailing and the International Laser Class Rules as amended by the Sailing Instructions and the official race notices. I understand and accept that personal accident and health insurance is my sole responsibility.Insurance compagny*Insurance expire date* DD MM JJJJ This form includes the race results and event picture publication authorizationBy participation in this even, I grant to the organizing aurhority and the event sponsors the right, in perpetuity, to make, use, and show, at their discretion, any photography, audio and video recordings, and other reproductions of them made at the venue or on the water from the time of their arrival at the venue, until their final departure, without compensation for the purpose of news reporting, regatta documentary, advertising to promote the regatta, the national or the international class association, and advertising where the above pictures/video recordings/etc are shown in the context of sailors/participants competing in a Laser Europeans. I agree to publish race results on Eurilca websites including my personal data as competitor (Name, Age, Sex, Sailing Club, Sailing number, Score). Date* Accord* The sailor accord Entry fee Prijs: 90,00 € Total 0,00 € Choose payment methode*iDEALCreditcardNameDit veld is bedoeld voor validatiedoeleinden en moet niet worden gewijzigd.