Women on Water Summer Series 2021

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Women on Water Summer Series 2021 - 2022 Season

Email *

Enrolment & Safety Declaration Form

First Name *

Surname *

Age Group *

Contact Details

Address

Mobile Phone

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Number

Sailing Experience on a scale 1-5

1 - never sailed or done WOW before - complete newbie

2 - have done a couple of WOW races - am comfortable on boats but will require instruction for most tasks

3 - completed 1 WOW season, am confident with moving around a boat and can complete some roles under close instruction

4 - completed more than 1 WOW season and can complete most roles on a boat under some instruction

5 - completed multiple WOW seasons and am confident with most roles on a boat with no or minimal instruction

Clear selection

Anything else we should know to aid in boat allocation?

Are you regular crew on a WOW boat? *

Yes

Required

If yes, which boat do you regularly crew on?

Are you fully vaccinated? *

Yes

Required

Vaccine Passes

Please email a copy of your vaccine pass to wow@yacht.org.nz
by 31st January 2022.

I have emailed my vaccination pass. *

Yes

Required

Vaccination Club Policy

As from Friday 3rd of December 2021, anyone coming onto the Club will have to show their vaccine pass. This is the Club Policy and allows us to continue operating in the traffic light system.

For WOW, this means all attendees must be able to show their vaccine pass to participate in sailing and activities at the club. In order to assist with placing people on boats and speeding up the sign-on process each sailing night, we will need to hold a copy of your vaccine pass on file.

Declaration

I understand that yacht racing has inherent risks and dangers that are beyond the control of the Organising Authority and that neither the Organising Authority and its officers, members and servants, nor other persons assisting with the conduct of the event, accept any responsibility in respect of any injury or loss to person or property that may be sustained by reason of participation in the event or howsoever arising in connection with the event. I acknowledge my right to access, and to correct, this information. This consent is given in accordance with the Privacy Act 1993.

Signature *

Date *

YYYY

WOW Season Prices

How will you be paying? *

TYPBC Member - Free with proof of membership

WOW Season Pass $100 (only available up to Race 4)

WOW Day Member $20 (pay online prior to Thursday)

Other YNZ affiliated club members $50 with proof of membership

Day Member (other NZ yacht club) $5

Required

TYPBC membership number (if applicable)

Other Yachting NZ Affiliated Club membership number (if applicable)

Payment Details

Your WOW membership can be paid by direct debit to the following bank account.
TYPBC Account: 01-0434-0082955-00
Please Note: Be sure to put your NAME in the reference and what you’re paying
for e.g. “Club Subs” or “WOW Season” or "WOW Casual".

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms