Wanaka Yacht Club - 2017/18

WANAKA YACHT CLUB INC
PO Box 198, Wanaka 9343
www.wanakayachtclub.co.nz
Learn To Sail Registration SPRING 2017/2018

WYC Has limited space on instruction courses and space will be awarded on a first-come basis. Participants must meet minimum competency requirements and class participation will be at the discretion of the instructors.

Program Registration
Required
First Name
Your answer
Last Name
Your answer
Date of Birth
MONTH/day/year
MM
/
DD
/
YYYY
Parent(s)/Guardian Names
Your answer
Parent Email Address(s)
Your answer
Home Phone
Your answer
Mobile Phone
Your answer
Address
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone:
Your answer
Can Participant Swim 50m?
Your answer
Alternative Emergency Contacts & Medical Information
Allergies/Special Health Considerations
Please detail any conditions
Your answer
Primary Emergency Contact
Your answer
Primary Emergency Contact Phone
Your answer
Are you a 2017/18 Member of the Wanaka Yacht club
All LTS participants are required to be current club members.
Type of Membership
*Family $180- Please fill out membership form http://www.wanakayachtclub.co.nz/join-wyc/
Do you wish to park your own LTS dinghy at the club?
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