ENTRY FORM
RS:X & TECHNO
MENS, WOMENS’& YOUTH NATIONAL CHAMPIONSHIPS
MANLY SAILING CLUB
FEBRUARY 18 to FEBRUARY 22, 2009
Class: |
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Sponsors (If Displayed) |
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Country Code on Sail: |
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Sail Number: |
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Organising Authority: Manly Sailing Club
Lawrence Street, Manly
Postal Address: P.O.Box 126
Whangaparaoa 0943
Helmsperson | |
First Name | |
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Surname | |
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ISAF Sailor’s Code (if registered) | |
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Gender Male / Female | |
Date of Birth | Age Today |
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Nationality | |
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Yacht Club | |
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Address | |
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Phone – Work | Phone – Home |
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Phone - Mobile | Fax |
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I agree to be bound by the Racing Rules of Sailing and all other rules that govern this event. I understand that yacht
racing has inherent risks and dangers that are beyond the control of the organizing authority. I understand that neither the
organising authority and its officers, members and servants nor other persons assisting with the conduct of the regatta
accept any responsibility in respect of any injury or loss to person or property that may be sustained by reason of
participation in the regatta or howsoever arising in connection with the regatta.
I agree to the use of my photograph(s) and other relevant information in any event publicity and in the ongoing promotion
of New Zealand yachting. I agree to the Organising Authority and Yachting New Zealand holding the above information for
the general administration and well-being of the sport, and for them to retain, use and disclose the information to
affiliated organisations and any other persons or organisations that Yachting New Zealand believes will further the interests
and objectives of Yachting New Zealand. I acknowledge my right to access to and correction of this information. The
consent is given in accordance with the Privacy Act 1993.
Helmsperson’s Signature: | Parent/Guardian’s Signature (if sailor under 18 years old) | |||||||||||
Date: | Date: | |||||||||||
Enclosures (if stated as required to be presented in Notice of Race) | ||||||||||||
Entry Fee $75.00 | Proof of Club Membership | Proof of Class Assn Membership | Proof of Date of Birth | Measurement / Rating Certificate | ||||||||
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Entry Fee Paid
| Cash / Cheque / Eftpos | Date | * NZ Techno Ass. Membership can be paid with this entry
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