ORC DH – WORLDS FORM - Yacht Club Monfalcone

Personal Information

Layout

Armatore / Shipowner

Telefono / Phone Number

NUMERO DI CELLULARE PER EVENTUALI COMUNICAZIONI DEL C.D.R./Phone number for any communications from the C.D.R.

Email Address

Circolo di appartenenza/Affiliated sailing club

Mailing Address

Indirizzo (linea 1)

Città

Stato / Provincia / Regione

Codice postale

Nazione

Race Information

Layout (copia)

APM

N° immatricolazione/N°Registration

Pescaggio m./Draft

Modello / Model

N° velico/N° Sailing

L.F.T.m

Linea di galleggiamento/Waterline

Anno di costruzione/Year of build

Bandiera / Flag

Larghezza m./Width

Cantiere/Shipyard

Categorie / Classes

A - APH from 420.0 – 519.9 s/NM
B - APH from 520.0 – 559.9 s/NM
C - APH from 560.0 – 630.0 s/NM

Lista Equipaggio - Crew List

Nome Cognome / Name Surname

Nome

Cognome

Menu a tendina

Punteggio / Hanidcap

Tessera FIV / Auth. License

Peso / Weight

Si Allega / Attach (copia)

Certificato di stazza/ORC Double Handed Certificate

Fai clic o trascina il file su quest'area per caricarlo.

Assicurazione/Insurance

Fai clic o trascina il file su quest'area per caricarlo.

Licenza pubblicità / License for Advertising

Fai clic o trascina il file su quest'area per caricarlo.

Foto Imbarcazione / Boat Photo

Fai clic o trascina il file su quest'area per caricarlo.

Signature

Cancella la firma

Authorization for the Use of Photographic, Video, and Audio Recordings

I hereby authorize the “YACHT CLUB MONFALCONE” (YCM), directly or through third parties, to acquire, use, publish, and distribute images, videos, and audio recordings of me taken during the "Training 2022" event. This includes unlimited rights to adapt, modify, or edit the content, without restrictions on method, time, or location (e.g., web, radio, television). I acknowledge and accept the publication and use of this media and waive any claims against YCM for potential damages to my name or image caused by third-party misuse. This authorization is granted free of charge, with no entitlement to compensation

Responsabilità / Disclaimer

Visualizza il documento / View the document

Payment Information

Pagamento iscrizioni regata / Entry Fee

Prezzo: 600,00 €

Before 1 March 2025 From 1 March to 15 August 2025 it will be 750,00€

Payment

Payment method through bank transfer

PAGAMENTO SUL C/C

Banca: Banca Popolare di Cividale
Intestatario: Yacht Club Monfalcone A.S.D.
IBAN: IT90 X054 8464 6100 0000 1002 522
Causale: nome cognome

Acceptance of the Notice and Regulations

By signing this form, the participant confirms the acceptance of the Notice and Regulations

Acceptance GDPR

I consent to the processing of my personal data (EU Regulation 2016/679). To consult the privacy notice, refer to Articles 13 and 14 of EU Regulation 2016/679. Furthermore, I declare that I have read and understood the privacy notice.

Home

ENTRY FORM

Personal Information

Race Information

Lista Equipaggio - Crew List

Si Allega / Attach (copia)

Responsabilità / Disclaimer

Payment Information

Payment method through bank transfer

Contattaci