Boat Representative *

First Name

Last Name

Phone Number *

(###)

###

####

Date *

MM

DD

YYYY

HELM *

Please enter the name of the person who will be driving the boat for the duration of the regatta:

First Name

Last Name

World Sailing Sailor Categorization *

I confirm that the driver of this boat, for the duration of the regatta is a:

Group 1

Group 1 / No Categorization (Under 18)

TACTICIAN *

First Name

Last Name

World Sailing Sailor Categorization *

I confirm that the driver of this boat, for the duration of the regatta is a:

Group 1

Group 1 / No Categorization (Under 18)

CREW MEMBER NO. 1 *

First Name

Last Name

World Sailing Sailor Categorization *

I confirm that the driver of this boat, for the duration of the regatta is a:

Group 1

Group 1 / No Categorization (Under 18)

CREW MEMBER NO. 2

First Name

Last Name

World Sailing Sailor Categorization

I confirm that the driver of this boat, for the duration of the regatta is a:

Group 1

Group 1 / No Categorization (Under 18)

CREW MEMBER NO. 3

First Name

Last Name

World Sailing Sailor Categorization

I confirm that the driver of this boat, for the duration of the regatta is a:

Group 1

Group 1 / No Categorization (Under 18)

CREW MEMBER NO. 4

First Name

Last Name

World Sailing Sailor Categorization

I confirm that the driver of this boat, for the duration of the regatta is a:

Group 1

Group 1 / No Categorization (Under 18)

CORINTHIAN QUALIFICATION CONFIRMATION *

At the time of completing this Corinthian Declaration, as the Boat Representative, I confirm that the : • The HELM is currently registered under World Sailing with a categorization as a Group 1. Sailor, • The HELM is a current, Full Member of the USM24CA (or their respective Member National Authority - MNA), and • ALL CREW MEMBERS are currently registered under World Sailing as Group 1 Sailors.

Yes, I confirm.