Please print and complete this form and send together with your cheque for the entry fee, to the NPC Secretary

Mrs Heather Roberts
123 Newmarket Road
Norwich
Norfolk
NR4 6SZ

By signing this form you agree to observe the sailing instructons in use for the event, a copy of which is posted on the Club notice board, and you confirm that you have third party insurance of at least £1,000,000 which covers you for racing at the event

All competitors take part in this regatta, and use the NPC facilities, at their own risk

The Norfolk Punt Club will not accept any liabilty for any incident, however caused.

Helmsman's Name:...................................................

Sail Number:.......................................................

Boat Name:.........................................................

Signature:.........................................................