Dinghy Group

Online registration form for Dinghy Group membership.

Activities are conducted with the following conditions:

• participants must be able to swim 25 metres
• all activities on the water require PFD approved to australian standards
• apart from beginers, all participants must have their own boat
• participant has the sole and exclusive responsibility whether to participate
• be aware that the water is cold! Wetsuits, are mandatory, boots and thermals are recmmended

Personal Details

Participant Name: *

Date of Birth: *

Day12345678910111213141516171819202122232425262728293031

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Year1940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009

Fathers Name:

(if participant is under 18)

Fathers Mobile:

Mothers Name:

(if participant is under 18)

Mothers Mobile:

Emergency Contact:

(if participant is over 18)

Emergency Mobile:

Street Address: *

Suburb: *

Postcode: *

Email Address: *

Medical

Medical Condition: * select...YesNo

Does the participant suffer from any medical condition. If Yes please indicate below.

Medical Details:

Boat Details

Class: select...SabotOptimistLaser 4.7Laser RadialLaser StandardInt 42029erSailboardSharpieMothB144702.4Other

Boat Name:

Sail No:

Helmsman:

Crew:

Enter name of crew (if applicable)

Training

Training Class: * select...Beginner - without a boatBeginner - with own boatIntermediate SabotSenior SabotInt 420Laser 4.7Laser RadialLaser StandardSharpie29erB14MothMirrorFlying 112.4Other

Racing

Pennants:

RYCT

SBSC

You are entitled to both if paying the full membership fee (plus other benefits) otherwise it is $75 per series.

Yacht Club Membership

Member: * select...I am a memberI wish to join

Club: * select...RYCTDSS

Member Type: * select...JuniorIndividualFamily

Member Number:

Enter club membership number if already a member of either the RYCT or the DSS

Indemnity Accepted: * select...YesNo

I agree to the following terms and conditions associated with RYCT Dinghy Group
- In case of medical emergency I give consent to the organisers to arrange medical treatment
- I have read and understand the indemnity clause
- I accept the respective conditions of membership and yacht club constitutions

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