2017 A-Class Catamaran & Flying Dutchman National Championship Entry Form Email * This email address will be used for all correspondence regarding your entry. Boat Details Class * A-Class Catamaran Flying Dutchman Country Code on Sail * Sail Number * Boat Name Hull Colour Helmsperson First name * First Surname * Last Gender * Female Male Date of Birth * Yacht Club * Crew First name First Surname Last Gender Female Male Date of Birth Yacht Club Contact Details Use Contact of Parent/Guardian Name if Under 17 * Address * Address Line 2 City * Postal Code Work Phone Home Phone Mobile Phone Uploads / Enclosures Please refer your Notice or Race for that required to be presented at Registration. Proof of Club Membership Drop a file here or click to upload Choose File Maximum upload size: 67.11MB Proof of Class Association Membership Drop a file here or click to upload Choose File Maximum upload size: 67.11MB Proof of Yacht Club Membership Drop a file here or click to upload Choose File Maximum upload size: 67.11MB Measurement Rating Certificate Drop a file here or click to upload Choose File Maximum upload size: 67.11MB Evidence of Insurance Required Drop a file here or click to upload Choose File Maximum upload size: 67.11MB Logistics Will you (friends or family) be able to assist NYC as a volunteer during the regatta Yes, on the land Yes, on the water Thank you, we will be in touch to discuss Will you be bringing a RIB?: Yes No RIB VHF Call Sign: If known Disclaimer of Liability 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. * I understand and agree Payment Information Entry fees are: $225 Late entries, accompanied by an additional late entry fee of $50 may be accepted at the Race Committee’s discretion as per Notice of Race. Fees are payable to Bank Account 03 1709 0010163 00. Please use Boatname + Sailnumber + Surname as reference. Or post cheque to Nelson Yacht Club, 322 Wakefield Quay, Nelson. If you are human, leave this field blank. Share this:PrintTwitterFacebook
