Sail Nr.:
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Hull nr.:
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Skipper(surname,name):
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Club:
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License Nr.:
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National Laser Association membership card:
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FLEETS and CATEGORY:
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Birth date:
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Reach Age 2021
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Nationality:
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Address:
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PostCode:
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City:
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Country:
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Phone 1:
(Available during championship)
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Phone 2:
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Fax:
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E-Mail:
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Sponsor:
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T-Shirt size
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Social Events:
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Will you assist to the Social Events ?:
No Yes
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Will you assist with Companions ?:
No Yes
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How many adult companions ?:
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How many children companions ?:
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Write the black letters and numbers you can see at the image on the right:
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