---- 2019 Queen's Birthday Regatta ---- Port Ohope Yacht Club
Registration form for the 2019 Queen's Birthday Regatta, Saturday 1st and Sunday 2nd June 2019 at Port Ohope Yacht Club, 340 Harbour Road, Ohope | NOR and Sailing instructions: www.sailingohope.co.nz . Queries: PortOhopeYachtClub@gmail.com
Sailor information -
Please submit one registration per boat
Sailor name *
First name and surname
Your answer
Date of birth *
Gender *
Phone *
Mobile phone preferred
Your answer
email *
Your answer
Yacht Club *
If your yacht club is not listed, please select Other and specify name in next question.
Specify yacht club
(if not listed above)
Your answer
Boat information -
Double handed boats please supply crew infomation in next section
Boat class *
If your class is not listed, please select Other and specify below
Specify boat class
(if not listed above)
Your answer
Sail number *
Your answer
Alternative sail number (optional)
Your answer
Saturday dinner -
Saturday night dinner at the Clubhouse (6pm) - Cost: $25 per person (limited to 80 people)
Number of people for dinner (zero if no dinner) *
If opting for dinner at the Clubhouse on Saturday 6pm ($ 25 per person), please specify numbers, otherwise select "No dinner".
Payment options -
Registration fee: Senior $25, Junior $10 (under 18yrs), Dinner $25 per person. Multiple registrations and dinners can be paid in one transaction. However, each registration has to be submitted separately. Please provide details of registrations paid in notes below.
Payment method *
Direct debit: Port Ohope Yacht Club account 03-0490-0208241-00 Westpac Bank. Please include NAME and SAIL NUMBER in payment details to identify your payment.
Total to pay *
Please provide the total amount to pay. Total = Registrations fee ($25 seniors , $10 juniors) + Dinner ($25 per person)
Your answer
If paying for more than one registration, please specify sailor name and boat number of ALL registrations included in this payment.
Your answer
Terms and conditions
By submitting this form I agree with the following:
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.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service