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Owner/Helm Last Name *
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DECLARATION I wish to enrol in the J109 Nationals 2019. I accept that my participation in this programme is at my sole and exclusive risk in every respect. By this form I hereby indemnify the Royal Irish Yacht Club, and their officers, members, servants and agents in respect of all claims and demands of whatever nature which may be made upon them in connection with or howsoever arising from the participation or intended participation in this Programme, and I acknowledge that the Royal Irish Yacht Club and their officers, servants and agents accept no responsibility in respect of loss of life, personal injury or loss of or damage to property which I or any other person may sustain by reason of my participation or intended participation in this programme or howsoever arising in connection with this programme

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