The Cruising Yacht Club of Western Australia (inc)

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Late entries will only be accepted at the discretion of the Organising Authority and upon payment of a penalty fee of an additional $100.00

Legal Name

Family Name

Street (Number & Name)

Town

State

Postcode

Country

Phone

Mobile

Date of Birth--

Gender

Shirt Size

Home Yacht Club

Member Type

YA Number

KA ID

ISAF ID

Any Medical Conditions

Any Allergies

Declared Disability

Allow Medical Treatment

Emergency Contact Name

Emergency Contact Number

Expected Number of Crew (For Catering) - Optional

I give approval for my photo to be used by TCYC, International Kite Association and the Australian Kite Association.