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Yachting and Boating Quarterly - Edition 3

Full Name

Skipper/ Crew name

Class

420

29er

Laser Radial

Windfoil

Kitefoil

Nacra 15

Sail Number

City

Yacht Club

Age

Date of Birth

Gender

Male

Female

Prefer not to say

Mobile Number

Sailor's Email

Parent's Email

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Mobile Number