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Keelboat Racing

Keelboat Racing
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First Name(*)
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Street Address(*)
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Phone Number(*)
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Date of Birth(*)
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Australian Sailing Number(*)
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HYC Member Number
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Alpha Sail Number
Please enter your 3 letter sail number

e.g. HY, OR

Sail Number(*)
The sail numbers must be completed


Boat Name(*)
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Emergency Contact Name(*)
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Emergency Contact Mobile(*)
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Emergency Contact Email
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Emergency Contact Relationship
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Direct Deposit BSB: 306 105 Account: 4878380 Reference:Course Code - First Initial - Surname

(eg NCJBloggs)

Medical Information
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Please note any pre-existing condition that HYC should be made aware of.

Indemnity and Risk Waiver(*)
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All those taking part in this event do so at their risk and responsibility. The Organising Authority or its agents are not responsible for the seaworthiness of a yacht, whose entry is accepted, or the sufficiency or adequacy of its equipment. The Organising Authority reserves the right to refuse an entry.
Each participating boat shall be insured with valid third party liability insurance with minimum cover of AUD $10,000,000 per incident. By completing and signing this entry form, all owners and/or competitors are deemed to have made a declaration that they hold such cover.
Competitor declaration.
I hereby release the Hillarys Yacht Club Inc., Yachting Western Australia Inc., Yachting Australia Inc. and or any representative thereof from any claim or demand including (but not limited to personal injury, death, financial loss or damage of personal belongings) that I may have, now and in the future, arising out of the Racing Series or any other sailing or training and I acknowledge that there are risks involved with any aquatic environment, on-water activity or activity in which I may participate in.
I give permission for all listed above to be photographed and/or videoed by Hillarys Yacht Club Inc., Yachting Western Australia Inc., Yachting Australia Inc. and/or any representative and media whilst participating in Racing and Sailing and authorise these photographs and/or video to be used in publications approved by the Hillarys Yacht Club Inc. Yachting Western Australia Inc., Yachting Australia Inc. and /or any representative and media. I give permission for Hillarys Yacht Club Inc. Yachting Western Australia Inc., and Yachting Australia Inc.to send out promotional information via email. I acknowledge that my personal registration information is collected for the following purposes: Race reporting, safety and emergency procedures, Insurance cover and registration fees.This may be disclosed to Club Officers/employees/representatives and Australian Sailing for the above reasons.
I agree to be bound by the Racing Rules of the ISAF and by all other rules that govern the event and I acknowledge that Rule 4 Decision to Race, places the sole responsibility for deciding whether or not to start or to continue racing on the boat.
If the sailor is under 18 years of age, I as the parent/guardian authorise my child to take part in sailing/racing with Hillarys Yacht Club and agree to all of the above.

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Breakfast: Sunday 8am - 11am
Lunch: Wednesday - Sunday 12noon - 3pm
Dinner: Monday 6pm - 9pm
Wednesday - Sunday: 6pm - 9pm

Friday: 6pm - 9pm

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Wednesday: 12pm - 6pm
Friday : 12pm - 9pm
Saturday & Sunday: 12pm - 6pm

Monday - Friday: 9am - 5pm

Monday - Friday: 7:30am - 5:30pm
Saturday - Sunday: 7:30am - 4:30pm

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