Registration form for the 2016 Fireball Worlds.

Helm Name:*
Helm Birth Date:*
 / 
 / 
Phone / Mobile Number*
-
Helm Address:*
Helm Gender:
E-mail:*
Helm Emergency Contact Name:*
Helm Emergency Contact:
-
Helm Yacht Club Membership:
Boat:
Boat Name:
Hull number:*
Sail number, if different from hull number (chartered boats).
Crew:
( Please note the Crew details not compulsory. Tick if TBA if Crew is unconfirmed)
Crew TBA:
Crew Name:
Birth date:
 / 
 / 
Crew Phone / Mobile:
-
Crew Address:
Crew Gender:
Crew E-mail:
Crew Emergency Contact Name:
Crew Emergency Contact:
-
Crew Yacht Club Membership:
Registration:
Completed entry form and fees should arrive at the Fireball World’s Office before 17:00 hrs on 4th December 2016 for RSA National & Open Championship or 10th December 2016 for the World Championship.
Registration confirmation: 
Helm or crew shall report to the registration desk at MBYBC to confirm entry.
Waiver and release: I have read the Notice of Race issued for the 2016 International Fireball World Championships and 2016 RSA National and Open Championships. I agree to be bound by the rules and regulations therein, and in the Sailing Instructions or any Addenda to either document. I recognize the inherent and other risks in yacht racing activities and freely accept these risks. In consideration for participating in this event, I represent to MBYBC, the RSA Fireball Association and Fireball International that my vessel has liability insurance in effect for the regatta covering property damage, personal injury and death in an amount not less than R3,000,000 (Three Million Rand) per occurrence and that the policy covers dinghy-racing activities. I agree to waive my rights to take legal action against, and release and forever discharge MBYBC, the RSA Fireball Association, Fireball International, and their respective organizers, agents, officials, servants and representatives (collectively the “Organizers”) from and against any and all claims, actions, costs or expenses and demands in respect to death, injury, loss or damage to my person or property howsoever caused, arising out of or connected with my participation in the 2016 International Fireball World Championships and 2016 RSA National and Open Championships notwithstanding that the same may have been contributed to, caused or occasioned by the negligence of the organizers or any of them. I understand that this waiver and release is binding upon heirs, my executors, assigns and myself.

I accept:

Special trophies:

I consider we are eligible for the following special trophies:

2 Event Polo-Shirt will be provided FREE (After 4th December subject to availability.) Additional Shirts can be purchased on our online store after you click submit on completion of this registration form.

Specify quantity for small:
Specify quantity for medium
Specify quantity for large
Specify quantity for X large
Specify quantity XX large:
ENTRY FEES (SAILING & NON SAILING)
Entry Fees: Before 4th September 2016: Please indicate in the box quantity required.
World Championships, RSA National and Open Championships - R9000 per boat
RSA National and Open Championships only - R3000 per boat
World Championships only - R7000 per boat

Entry Fees: Before/ On 4th December 2016: Please indicate in the box quantity required.

World Championships, RSA National and Open Championships - R10000 per boat
RSA National and Open Championships only - R5000 per boat
World Championships only - R8000 per boat

Entry Fees: Before/On 10th December 2016: Please indicate in the box quantity required.

World Championships only - R10 000 per boat

Europcar have kindly agreed to offer all participants of the Fireball Worlds discounted rates on rental car bookings for the duration of the event. To take advantage of their discounted rates please book your rental car directly off the Europcar website by following the link below.

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