*Attention! Fields marked * MUST be completed
Date: 4-2-2012
Ice sailing class:*
Ice-Optimist
DN-Junior
Sail number:*
Ice sailing club name:
Surname:*
First name:*
Street:
Town:
Post code:
Country:*
Date of birth:*
Sex:*
Male
Female
Insurance number:*
Team Leader:
Surname:*
First name:*
e-mail:
Telephone:
Mobile telephone:
Fax:
Notes:
"I comply with the obligations that result from The NIA SAILING RULES and Sailing Instructions"
