Sea Sherpa North Shore Challenge 2017
Don't forget to join our Facebook event page to receive regular updates and details of the prizes as they are released: https://www.facebook.com/events/1142033375867222/
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Your Surname *
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Your Date of Birth *
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Your Address *
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Your Mobile Number *
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Your Email Address *
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Known medical conditions or disabilities (if none, write "none") *
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Years of kayaking experience *
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Name of your emergency contact *
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Phone number of your emergency contact *
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Your Kayak/Ski model and colour *
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Your VHF radio Call Sign/Username (This cannot be your real name) *
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Extra people attending the BBQ @ $10 per extra person (if none, write "none") *
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Payment *
I will pay the $30 Registration and $10 for any extra person attending the BBQ. I acknowledge that my registration isn't valid until payment has been received. Transfer your payment to Sea Sherpa Pty Ltd (BSB 063 101 and Account No 1062 2242). Use your initials and surname as a reference so we can identify your payment!
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Declaration *
I declare that I am 18 years or older, have read the above Competition Entry Form and Exclusion of Liability, Release and Indemnity, I fully understand these documents and I agree to abide by the terms of these documents. Unless superseded by a further document which I have signed, I acknowledge and agree that these documents will apply to any future activities or events organised and/or conducted by Sea Sherpa which I choose to participate in voluntarily.
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