PRE-REGISTRATION FORM

ENTRY FORM

WORLD CHAMPIONSHIP in classes OSY-400
Country: Poland
Venue: Chodzież, Poland
2025-06-14 - 2025-06-14
Class concerned:
| OSY-400 |

DRIVER

Name:

First name

Phone number

Address

Town

Zip code

Country:

Email:

Date of birth:

Nationality:

Club:

Licence №

Nationality as per licence:

Race number:

CLASS

OSY-400

CO-DRIVER

Name:

First name

Phone number

Address

Town

Zip code

Country:

Email:

Date of birth:

Nationality:

Club:

Licence №

Nationality as per licence:

BOAT

Hull:

Year of construction

Hull identification number (HIN)

Measurement certificate delivered by

Measurement certificate №:

Engine:

Model:

Cylinder capacity:

TEAM MANAGER:

Name:

First name:

Phone number:

email:

RADIOMAN:

Name:

First name:

Phone number:

email:

OBLIGATORY FOR COMMUNICATION AND IN CASE OF EMERGENCY (ICE):

Name:

First name:

Phone number:

email:

All fields must be completed.
In case of using transpoder the deposit of 20€ will be charged.

ADDITIONAL INFORMATION

Please indicate type of vehicle you will arrive (car and trailer, motorhome, other).

Please indicate in meters dimension of your vehicle (full length, full width)

Please indicate in meters space needed for a tent (full length, full width)

Total number of people in the team: