JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
59. Pulska regata (@PULA SAILING WEEK)
30/04/2023 (prijave otvorene do / entries open until 29/04/2023 18hours)
JK Uljanik, Verudela 9, 52100 Pula
Email:
info@jku.hr
Web:
https://jku.hr/en/psw
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Ime broda / BOAT NAME:
*
Your answer
Duljina preko svega / LOA
*
Your answer
SAILING number + Registracija plovila / BOAT registration (foreigners only)
*
Your answer
Podjela / Division:
*
Racer
Cruiser (at least 3 of these: roll jib, roll main, non carbon sails, a fixed pitch propeller, a fixed anchor winch on deck, boat older then 30 years)
Other:
Required
Jedriličarski klub / SAILING CLUB:
*
Your answer
Ime i prezime skipera / SKIPPER's NAME AND SURNAME:
*
Your answer
Broj mobitela / MOBILE NUMBER:
*
Your answer
Email adresa / E-MAIL ADDRESS:
*
Your answer
Prijave do 29/04/2023 u 18h / Entries up to 29/04/2023 18hours
*
Uplatiti ću prijavu od 20eur/po osobi na račun JK Uljanik / I will pay the Entry fee of 20eur/per person: HR3124070001100322584 – OTP Banka
Required
Moja posada sastoji se od otprilike (točan broj + crew lista + uplata razlike najkasnije do 29/04/2023 u 18h) / My crew will have approximately ... (full crew list until 29/04/2023 6 pm)
*
od 2 do 4 člana posade / 2 to 4 crew members
od 4 do 6 člana posade / 4 to 6 crew members
od 6 do 8 člana posade / 6 to 8 crew members
od 8 do 10 člana posade / 8 to 10 crew members
Potvrđujem da (moram prihvatiti svo troje i vrijedi kao moj potpis) / I accept all three (this is valid as my signature):
*
Sam shvatio da bez ove prijave ne mogu nastupiti na regati, te da preuzimam potpunu odgovornost kao skiper moje jedrilice da li startati ili ne. / Without this online entry form I am not authorized to start and that I as a skipper decide if or not to start a race.
Također potvrđujem da ću kao skiper brinuti se za poštivanje svih COVID mjera moje posade. / I herewith declare that I will behave according to the reigning Covid rules.
Ću poslati popunjenu Crew listu najkasnije do 28/04/2023. u 17h na mail od kluba (
info@jku.hr
) / That I will send the full crew list no later then 07/05/2022 5 pm via mail (
info@jku.hr
)
Required
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
