Skippers name *

First Name

Last Name

Skippers address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Entry fees

Covered by this boats season entry fee

Member of another club so $20 per race

Individual per race $20

Round the Island Race $40

I accept the following declaration and request entry in the afore mentioned race or series *

DECLARATION; I/We agree to be bound by the Racing Rules of Sailing, with NZ prescriptions and safety regulations, under which these races are sailed, and by the sailing instructions issued by the Waiheke Boating Club Inc. I/We declare that the above named yacht is registered with YNZ in the name of the current owner/s and that the Skipper is a current member of an affiliated YNZ Club. I/We also declare that I/We relieve the Waiheke Boating Club Inc. of all responsibility for any misadventure that may occur during participation of any race run under the control of the Waiheke Boating Club. I/We also declare that the above named yacht complies with current YNZ safety requirements for racing and acknowledge that any decision to start, or continue, to race is the Skipper’s responsibility.

I accept this declaration and all terms and conditions