ISA Optimist Squad Application form 2012-2013

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
11. I confirm I have sent e-mailed or faxed a copy of my child's PASSPORT to Ana Finnegan 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.
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