1. Contact Info


* 1. Name of Parent or Guardian

* 2. Name of sailor

3. Address

* 4. Telephone Number

* 5. E-mail Address

* 6. Please fill in the following details on your child

* 7. Please list the 3 most important overall results you had in the 2012 season?

* 8. I confirm I have read and understood the GUIDELINES FOR SELECTION OF THE ISA Optimist Squad 2012-2013

9. Please provide the following information

* 10. I confirm I have sent a €500 deposit to Ana Finnegan, ISA, 3 Park Road, Dun Laoghaire, Co Dublin
e-mail: olympicadmin@sailing.ie

11. I confirm I have sent e-mailed or faxed a copy of my child's PASSPORT to Ana Finnegan olympicadmin@sailing.ie or fax 01 2807558

12. I confirm I have travel insurance for my child

13. I confirm I have an E111 for my child.

14. I confirm I have sent a completed copy of the Medical Consent form in with this application.