BOAT PROFILE Category of boat (for fees payable) * Classe Mini 650 (Proto et Série)Bateaux LOA de moins de 9,50 Bateaux LOA de 9,50 à 11,49 mBateaux LOA de 11,50 à 14,49 mBateaux LOA de 14,50 à 16,99 mBateaux LOA de 17m à 24,99 mBateaux LOA égale ou > 25 m Boat class (for rankings) * CLASS40 FIGARO3 BENETEAUIMOCAIRC en DOUBLEIRC en EQUIPAGEMINI 6,50MULTI 2000OCEAN FIFTYOPEN Grands MonocoquesULTIMES 32/23OPEN Grands MulticoquesSUN FAST 30 ODYACHTS CLASSIQUES IRC TCC (must be equal or greater than 0,950) * Classe OSIRIS * Groupe OSIRIS (doit être égal ou supérieur à 20) * Race Category * COURSE EN DUOCOURSE EN DOUBLE MIXTECOURSE EN ÉQUIPAGE Name of the boat * Name for the Race (respect the lower and upper case letters of the sponsored boat's name) * Type of boat * Builder * DESIGN (A or B) or NAVIGATION (3 rd minimum) CATEGORY * Sail number * Length over all (in meters, to 2 decimal places) * Beam over all (in meters, to 2 decimal places) * Draught (in meters, to 2 decimal places) * Are you the owner of the boat ? * Yes No Name of the rental agency * Rental location * Fixed V.H.F. radio compulsory on board * Yes No « Sorry, but your entry cannot be validated until you have this mandatory equipment » VHF No. MMSI No. of the BOAT * A.I.S. transponder * No Yes Please note, the A.I.S will be compulsory for the Race SPORT TROPHY : if you answer YES to the following 4 questions, your boat is eligible for the Sport Trophy Is the mast of the boat aluminum or wood ? * No Yes I certify that the mast of the boat is made of aluminum or wood Is the boat's boom made of aluminum or wood ? * No Yes I certify that the boat's boom is made of aluminum or wood Is the spinaker pole of the boat made of aluminum or wood? * No Yes I certify that the spinaker of the boat is made of aluminum or wood Are the sails of the boat in woven or laminated polyester, eg. Dacron, etc? * No Yes I certify that the sails of the boat are in laminated or woven polyester, eg. Dacron, etc Will the boat carry advertising ? * No Yes A copy of the advertising port authorization card will be requested Number of life rafts * 1 2 You will need to attach the two check sheets Do you want to subscribe to the Voiles et Voiliers newsletter ? Yes, I would like to subscribe to the Voiles et Voiliers newsletter. No thanks ! Thank you for accepting the offer to subscribe to the Voiles et Voiliers newsletter. Do you play golf ? No Yes If a golf tournament was organised, would you join in ? No Yes SKIPPER PROFILE Title * Monsieur Madame Mademoiselle Last Name * First Name * Nationality * AfghanistanAfrique du SudAlbanieAlgérieAllemagneAndorreAngolaAnguillaAntarctiqueAntigua-et-BarbudaArabie SaouditeArgentineArménieArubaAustralieAutricheAzerbaïdjanBahamasBahreïnBangladeshBarbadeBelgiqueBelizeBéninBermudesBhoutanBiélorussieBolivieBosnie-HerzégovineBotswanaBrésilBritish Virgin IslandsBrunei DarussalamBulgarieBurkina FasoBurundiCambodgeCamerounCanadaCap-VertChiliChineChypreColombieComoresCorée du NordCorée du SudCosta RicaCôte d'IvoireCroatieCubaDanemarkDjiboutiDominiqueÉgypteÉmirats Arabes UnisÉquateurÉrythréeEspagneEstonieEswatiniÉtats-UnisÉthiopieFidjiFinlandeFranceGabonGambieGéorgieGéorgie du Sud et les îles Sandwich du SudGhanaGibraltarGrèceGrenadeGroenlandGuadeloupeGuamGuatemalaGuerneseyGuinéeGuinée équatorialeGuinée-BissauGuyaneGuyane françaiseHaïtiHondurasHong KongHongrieÎle BouvetÎle ChristmasIle de ManÎle NorfolkIles CaymanÎles CocosÎles CookÎles FalklandÎles FéroéÎles Heard-et-MacDonaldÎles Mariannes du NordÎles MarshallÎles mineures éloignées des États-UnisÎles SalomonÎles Turques-et-CaïquesÎles Vierges américainesÎles ÅlandIndeIndonésieIrakIranIrlandeIslandeIsraëlItalieJamaïqueJaponJerseyJordanieKazakhstanKenyaKirghizistanKiribatiKoweïtLaosLesothoLettonieLibanLibériaLibyeLiechtensteinLituanieLuxembourgMacaoMacédoineMadagascarMalaisieMalawiMaldivesMaliMalteMarocMartiniqueMauriceMauritanieMayotteMexiqueMicronésieMoldavieMonacoMongolieMonténégroMontserratMozambiqueMyanmarNamibieNauruNépalNicaraguaNigerNigeriaNiueNorvègeNouvelle-CalédonieNouvelle-ZélandeOmanOugandaOuzbékistanPakistanPalauPalestinePanamaPapouasie-Nouvelle-GuinéeParaguayPays-BasPérouPhilippinesPitcairnPolognePolynésie françaisePortugalPuerto RicoQatarRépublique centrafricaineRépublique démocratique du CongoRépublique dominicaineRépublique du CongoRépublique tchèqueRéunionRoumanieRoyaume-UniRussieRwandaSahara occidentalSaint-BarthélemySaint-Kitts-et-NevisSaint-MarinSaint-Martin (partie française)Saint-Martin (partie néerlandaise)Saint-Pierre-et-MiquelonSaint-Siège (Vatican)Saint-Vincent-et-les GrenadinesSainte-HélèneSainte-LucieSalvadorSamoaSamoa américainesSao Tomé-et-PrincipeSénégalSerbieSeychellesSierra LeoneSingapourSlovaquieSlovénieSomalieSoudanSri LankaSud-SoudanSuèdeSuisseSurinameSvalbard et Jan MayenSyrieTadjikistanTaiwanTanzanieTchadTerres australes et antarctiques françaisesTerritoire britannique de l'Océan IndienThaïlandeTimor-LesteTogoTokelauTongaTrinité-et-TobagoTunisieTurkménistanTurquieTuvaluUkraineUruguayVanuatuVenezuelaViêt NamWallis-et-FutunaYémenZambieZimbabwe Do you have a “FRENCH SAILING FEDERATION (F.F.VOILE) CLUB” Licence ? * No Yes You must attach the following documents in « Step 7 - Skipper and crew documents » : Proof that they belong to a World Sailing Member National Authority A current third-party liability insurance certificate with minimal coverage of 2 million Euros Which type of Licence do you have : please choose below the right mention * Compétition Adhésion ou pratique You are covered by the F.F.VOILE insurance. Your medical certificate has already been recorded by the F.F.VOILE. You do not need to add it to « Step 7 – Crew documents » You are covered by the F.F.VOILE insurance. However, you must add a medical certificate stating no contra-indication to Sailing in Competition, less than one year old, in French or English, to « Step 7 – Crew Documents » Sailing License number * Expiry year * Club * Date of Birth * Address * Phone Cellphone * E-mail address * Confirm your email address * Ground contact during the race * Issuing of your invoice In your name ? To a company ? The invoice will be issued to your personal address Company Name Company address Country Intra-community VAT number Validate "CLIC-REGISTER" - Copyright Drheam-Promotion. Trademarks, models, designs, registered. All rights reserved. Reproduction forbidden.