NZIODA South Island Optimist Clinic at QCYC

Entry Fee: $350

19th December to 21st December 2021

Email Address:*This email address will be used for all correspondence regarding your entry.
Country Code on Sail:*
Sail Number:*
Sailor :*First name
Sailor :*Surname
Date of Birth:*
Sailors Opti Age:*
Yacht Club:*
Please let us know about any medical conditions:*
Does your sailor have any dietary requirements?:*
Contact Person 1 - Name:*
Contact Person 1 - E mail:*Please do not use your Sailor's e mail
Contact Person 1 - Phone Number:*
Contact Person 2 - Name:*
Contact Person 2 - E mail:Please do not use your Sailor's e mail
Contact Person 2 - Phone Number:*
Are you a fully paid up member of NZIODA? :*
Parent Help::Are you able to stay and assist at the whole camp?
If Yes, parents name:
Are you able to volunteer during the day?:*
If Yes, parent Name:
If Yes, which days are you available?:
Are you able to stay and volunteer overnight?:*
If yes, parents name:
If yes, which nights are you available?:
Is there anything else we should be aware of?:
I agree to:*I agree that my sailor will be bound by the NZIODA policies 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 this training clinic accept any responsibility in respect of any injury or loss to person or property that may be sustained by reason of participation in this clinic or howsoever arising in connection with the South Island Clinic.
I agree to:*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.
Remember my details for next time: [?] |
NZIODA Website

PO Box 1526
Shortland Street, Auckland 1140

Please note all prices quoted are in New Zealand dollars.
The name that will appear on your statement will be NZIODA
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