Otago Yacht Club Summer 2020 Sailing School - Registration Form (Please complete 1 per person)
Event Timing: 9am Every Sunday from 9th February - End of sailing season, 2019
Event Address: Otago Yacht Club, 25 Magnet Street, Dunedin
Contact us at 02108352656 or mabinnz@gmail.com
Visit https://otagoyachtclub.org.nz/wp/sailing-school/ for more information
Name *
Your answer
Email *
Your answer
Address
Your answer
Mobile Phone Number *
Your answer
Home Phone Number *
Your answer
Age (If Under 18)
Your answer
If under 18 please provide Care Givers Name
Your answer
If under 18 please provide Care Givers Phone Number
Your answer
Please List Anything That May Effect Learning or Health Issues that instructors need to be aware of e.g. Disabilities / Medications / Injuries
Your answer
Previous Sailing Experience
Please let us know what you are looking to achieve
Please Select one of the following
Payable by Cheque (to Otago Yacht Club Inc.) or internet banking as follows: Otago Yacht Club Inc. 03 0905 0914990 01 ref: Sailing School code: Initial and surname
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy