2019 All-Ireland Coastal Rowing ChampionshipsDingle, Co. Kerry

Friday 16th, Saturday 17th & Sunday 18th August 2019

Name of Club: Name:

Club No.: Club Position:

Boat 1 Boat 2 Boat 3 Postal Address:

Name of Boat:

Boat Colour:

Boat Markings:

Oar Colour/Markings: E-Mail (s):

Vest Colour/Markings: Phone No.(s):

Insurance Details:All clubs are required to be insured for the purposes of competing at theAll-Ireland Coastal Rowing Championships. Each club must have Public Liability cover of at least €3,000,000 or an equivalent sterling amount.Documentary evidence is required and must be posted to accompany the Entry Fees.

Insurance Broker:(where applicable)

Insurance Company &/or Syndicate:(where applicable)

Insurance Policy No.:

General Data Protection RegulationPlease read, tick and sign all parts of the GDPR section on page 22 Expiry Date:

Page No. 1

2019 Race Entries Place an ‘X’ in each box as appropriate. If entering 1 crew only, place an ‘X’ in the row ‘Crew 1’, if two crews, place ‘X’s in rows ‘Crew 1’ & ‘Crew 2’, and so on. In the bottom row, please enter the Total Number of crews entered in each race. To be submitted as an editable Word Document only (not a pdf) by e-mail to johnflynner@eircom.net , to arrive by Wednesday 31st July 2019. Refer to the separately issued document ‘Instructions for filling out the Entry Form’ for information on the Race Running Order.

Club:

Race:

Und

er 1

2 Be

ginn

ers

Und

er 1

2 Gi

rls

Und

er 1

2

Und

er 1

4 Gi

rls

Und

er 1

4

Und

er 1

6 La

dies

Und

er 1

6

Und

er 1

8 La

dies

Und

er 1

8

Und

er 2

1 La

dies

Und

er 2

1

Nov

ice

Ladi

es

Nov

ice

Men

Pre-

Vete

ran

Ladi

es

Pre-

Vete

ran

Men

Pre-

Vete

ran

Mix

ed

Abbreviation: 12B 12G 12 14G 14 16L 16 18L 18 21L 21 NL NM PVL PVM PVX

Plac

e an

‘ X’ i

n ea

ch

box

as a

ppro

pria

te. Crew 1

Crew 2

Crew 3

Crew 4

Crew 5

Course/Distance: 800 800 800 800 800 800 1500 1500 1500 1500 MT2300

1500 1500 1500 1500 1500

Total Crews Enteredper race:

Page No. 2

Race:

Vete

ran

Ladi

es

Vete

ran

Men

Vete

ran

Mix

ed

Mas

ters

Ladi

es

Mas

ters

Men

Mas

ters

Mix

ed

Seni

or M

ixed

Ladi

es 8

00m

Spr

int

Men

’s 8

00m

Spr

int

Inte

rmed

iate

Lad

ies

Juni

or L

adie

s

Seni

or L

adie

s

Inte

rmed

iate

Juni

or M

en

Seni

or M

en

Abbreviation: VL VM VX ML MM MX SX LS MS IL JL SL Int JM SM

Plac

e an

‘X’ i

n ea

ch b

ox

as a

ppro

pria

te. .

Crew 1

Crew 2

Crew 3

Crew 4

Crew 5

Course/Distance: 1500 1500 1500 1500 1500 1500 1500 800 800 1500 1500 1500 MT2300

MT2300

MT2300

Total Crews Enteredper race:

Notes:Ladies’ Novice and Men’s Novice Races:

To be eligible to compete in the Novice Race, a competitor must meet at least one of the following three criteria:1). Be 21 years old or over and rowing in His/Her first year. or2). Have never been previously placed 1st, 2nd or 3rd in any race at a previous regatta. or3). Where the Novice category is run, is eligible to compete in the Novice race category in his / her own Association regattas.

Under 12 Beginners Race: To be eligible to compete in the Under 12 Beginners Race, a competitor’s 12 th Birthday must fall on or after 1st January this year and the competitor must have been registered to row for the very first time this year.

Page No. 3

Race:

Killa

rney

Six

es

Ladi

es

Killa

rney

Six

esM

en

Gigs

(Ker

ry /

Cork

)La

dies

Gigs

(Ker

ry /

Cork

)M

enO

pen

Clas

sic

Ladi

es

Ope

n Cl

assi

cM

en

St. A

yles

Ski

ffsLa

dies

St. A

yles

Ski

ffsM

en

St. A

yles

Ski

ffsM

ixed

St. A

yles

Ski

ffsU

nder

18

Girls

St. A

yles

Ski

ffsU

nder

18

Boys

Sein

e Bo

atLa

dies

Sein

e Bo

atM

en

Celti

c Lon

gboa

tLa

dies

Celti

c Lon

gboa

tM

en

Abbreviation: K6L K6M GL GM OCL OCM SAL SAM SAX SAG SAB SBL SBM LBL LBM

Plac

e an

‘X’ i

n ea

ch b

ox

as a

ppro

pria

te.

Crew 1

Crew 2

Crew 3

Crew 4

Crew 5

Course/Distance: Straight Sprint

Straight Sprint 1500 1500 1500 MT

2300 800 1500 1500 800 800 Circuit Circuit Circuit Circuit

Total Crews Enteredper race:

Crew Lists for these Traditional / Regional Boat Races are on page 14 below.

Page No. 4

Race:

Herit

age

Und

er 1

2’s

Herit

age

Und

er 1

4 Gi

rls

Herit

age

Und

er 1

4 Bo

ys

Herit

age

Und

er 1

6 Gi

rls

Herit

age

Und

er 1

6 Bo

ys

Herit

age

Und

er 1

8 Gi

rls

Herit

age

Und

er 1

8 Bo

ys

Herit

age

Nov

ice

Ladi

es

Herit

age

Nov

ice

Men

Herit

age

Mix

ed

Herit

age

Inte

r. La

dies

Herit

age

Seni

or L

adie

s

Herit

age

Inte

r. M

en

Herit

age

Seni

or M

en

Abbreviation: H12 H14G H14B H16G H16B H18G H18B HNL HNM HMX HIL HSL HIM HSL

Plac

e an

‘X’ i

n ea

ch b

ox

as a

ppro

pria

te.

Crew 1

Crew 2

Crew 3

Crew 4

Crew 5

Course/Distance: 400 800 800 1500 1500 1500 1500 1500 1500 1500 1500 1500 MT2300

MT2300

Total Crews Enteredper race:

Crew Lists for these Traditional / Regional Boat Races are on page 14 below.

Total Number of Crews Entered @ €20.00 Entry Fee per Crew.

Club Captain Details: Details of your Club Captain at the All-Ireland Championships (or the details of the Person who will act in that capacity)

Name: Phone: e-mail:

Page No. 5

Crew List The appropriate number of rowers can be selected from each panel in accordance with the rules In the Masters Races only, Composite Rules do not apply and crew members can be sourced from any combination of clubs. To fill in the race name below, select the name of the race from the ‘Drop Down Menu’ in the First Column by clicking on the appropriate cell. If entering a second or subsequent crew in a particular race, change the ‘Crew A’ in column 3 accordingly using the ‘Drop Down Menu’ by clicking on the appropriate cell. Crew Lists for the Traditional / Regional Boat Races are on page 14 below.

Race (select from Menu) Club Crew No. Pos. Surname First Name Composite ClubChoose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6

Page No. 6

Race (select from Menu) Club Crew No. Pos. Surname First Name Composite ClubChoose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6

Page No. 7

Race (select from Menu) Club Crew No. Pos. Surname First Name Composite ClubChoose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6

Page No. 8

Race (select from Menu) Club Crew No. Pos. Surname First Name Composite ClubChoose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6

Page No. 9

Race (select from Menu) Club Crew No. Pos. Surname First Name Composite ClubChoose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6

Page No. 10

Race (select from Menu) Club Crew No. Pos. Surname First Name Composite ClubChoose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6

Page No. 11

Race (select from Menu) Club Crew No. Pos. Surname First Name Composite ClubChoose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6

Page No. 12

Race (select from Menu) Club Crew No. Pos. Surname First Name Composite ClubChoose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6

Page No. 13

Traditional / Regional Boat Races The appropriate number of rowers can be selected from each panel in accordance with the rules. Composite Rules do not apply in these races and crew members can be sourced from any combination of clubs. To fill in the race name below, select the name of the race from the ‘Drop Down Menu’ in the First Column by clicking on the appropriate cell. If entering a second or subsequent crew in a particular race, change the ‘Crew A’ in column 3 as necessary using the ‘Drop Down Menu’ by clicking on the appropriate cell. Crew Lists are not required for Seine Boat races.

Race (select from Menu) Club Crew No. Pos. Surname First NameChoose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1

Page No. 14

Race (select from Menu) Club Crew No. Pos. Surname First NameChoose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1

Page No. 15

Race (select from Menu) Club Crew No. Pos. Surname First NameChoose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1

Page No. 16

Race (select from Menu) Club Crew No. Pos. Surname First NameChoose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1

Page No. 17

Race (select from Menu) Club Crew No. Pos. Surname First NameChoose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1

Page No. 18

Race (select from Menu) Club Crew No. Pos. Surname First NameChoose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6Choose an item. Crew A CoxChoose an item. Crew A 1Choose an item. Crew A 2Choose an item. Crew A 3Choose an item. Crew A 4Choose an item. Crew A 5Choose an item. Crew A 6

Page No. 19

Child Welfare The Irish Coastal Rowing Federation’s Code of Ethics & Good Practice for Children in Coastal Rowing and consequently, the

ICRF Rule Book contain a small number of recommendations which have implications for clubs who are entering children’s crews in the All-Ireland Coastal Rowing Championships. The definition of a ‘Children’s Crew’ for the purpose of this exercise is any crew in the Under 12, Under 14, Under 16 and Under 18 categories.Specifically, two items in the Code of Ethics and/or Rule Book that will now affect clubs entering crews in these two categories.

1. All Coxswains in charge of Children’s Crews (Crews Under 18 and younger) must have attended a Child Welfare / Safeguarding Course organised and given by a Sport Ireland/Sport NI approved body and they must hold a valid and current (in date) certificate. In addition, they must have undergone Garda Vetting/Access NI Vetting for the purposes of working with Young People and Vulnerable Adults in Coastal Rowing and they must have been declared suitable to work with Young People in Coastal Rowing All such Coxswain’s names, Certificate No. and Expiry date must be supplied by completing ‘Child Welfare: Part 1’ below.

2. Like all large sporting events, photographic images will be taken at the All-Ireland Coastal Rowing Championships. It is recommended that we obtain Parental Consent to publish photographic images where close ups of Children are used and/or their names are given (for example on our website or in the print media).

a. At the moment, It is not practical for us to have to receive individual consent forms from every parent so we are asking each club to obtain such consent from the Parents of their Underage Members and advise us by completing ‘Child Welfare: Part 2’ on the next page. Please note that failure to complete this section will be taken by us as permission being refused and photographic images will not be published of any Underage crews from your club.

b. There are no issues with the taking and publishing of photographic images of children’s crews where the subject matter is clearly about the sporting activity and is not concentrating unnecessarily on, or specifically identifying individuals in the boat and this practice will continue as normal.

Coxswains Child Welfare Certification (Only required if you have Children’s Crews)

Name Child Welfare Course Certificate No. (if any) Garda Vetting No. / Access NI No. (if any)

1

2

3

4

5Club Child Welfare Officer(s) Details

Name(s) E-Mail Address(es) Mobile Phone Number(s)

Page No. 20

Child Welfare: Part 2Important Note: Failure to complete this section will be taken as Permission withheld for the use of Photographic Images and/or Names of All Children from this Club.

Question: Has Parental Consent been given for the use of Children’s Photographic Images at the All-Ireland Coastal Rowing Championships? (Definition of a Child is somebody who has not yet attained their 18th Birthday)Please place an X in one Box only as appropriate:

Parental Consent has been GIVEN FOR ALL CHILDREN competing for this club, for their photographic images and/or their names to be published or announced in a responsible manner. (Photos and Names can be used for All Children from your club)

Parental Consent has been REFUSED FOR ALL CHILDREN competing for this club, for their photographic images and/or their names to be published or announced. (Photos and Names cannot be used for Any Children from your club)

Parental Consent has been REFUSED FOR THE CHILDREN LISTED BELOW but has been Given For All Other Children competing for this club, for their photographic images and their names to be published or announced in a responsible manner. (Photos and Names cannot be used for those LISTED below and Photos and Names can be used for ALL OTHERS not listed below)

Children for whom permission is being Refused Children for whom permission is being Refused Children for whom permission is being Refused

Entry Forms & Crew Lists Completed By:

Name: Position:

Ph. No.: e-mail:

Page No. 21

General Data Protection RegulationPlease read the following carefully and then answer the question by ticking the appropriate box, sign & date.

The Irish Coastal Rowing Federation takes your personal privacy very seriously and we will only use your personal information in relation to: Your Club’s participation in the All-Ireland Coastal Rowing Championships. Your Club’s participation in Coastal Rowing. Only where applicable, your Club’s Affiliation to the Irish Coastal Rowing Federation.

The Irish Coastal Rowing Federation will not divulge any of your personal data to any third party.

Do you authorise the ICRF to retain this Data for the purpose stated above? . . Yes No Please Tick One and then sign below

The ICRF's Data Protection Policy is available at: http://www.coastalrowing.net/coastal-rowing-ireland/Data-Protection

Signed: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Page No. 22

2019 All-Ireland Coastal Rowing ChampionshipsDingle, Co. Kerry

Friday 16th, Saturday 17th & Sunday 18th August 2019

ENTRY FEESThis page only should be completed and posted to arrive with the Treasurer on or before: Friday 2 nd August 2019. Please complete this form in BLOCK LETTERS, Thank You.This Page Only should be Printed and sent to the Treasurer along with the appropriate Fees & Insurance & Life Jacket Documentation

Club:Please find Enclosed our Entry Fees as follows:

Total Number of individual Persons Competing for ClubInclusive of Rowers & Coxes (Persons Registered in 2019 exempt)

@ €10.00 per Person

Fees Due@ €10.00 per Person: € .00

Number of Crews Entered:@ €20.00 per Crew:Fees Due

@ €20.00 per Race: € .00Total Fees Due: € .00

Send by Post with payment to:

Johanna King,Cromane Upper,

Page No. 23

Signed: Date:

Name inCapitals:

Club Status:

The Lake,Killorglin,Co. Kerry.

Page No. 24