To enter the 2017 Australian Titles, fill out the form below and submit.
A $150 fee is payable to the 12ft Skiff Association to complete this entry. The Cherub class are eligible to enter, with a fee of $100. Entry and payment is due by the 7th April.
Payment options can be found below.
[contact-form to=’gfa64053@bigpond.net.au;brettrhobson@icloud.com;murrayjpress@gmail.com’ subject=’2017 Australian Champs Entry Form (skiff.org.au)’][contact-field label=’Boat Name’ type=’text’ required=’1’/][contact-field label=’Sail Sign’ type=’text’ required=’1’/][contact-field label=’Club’ type=’text’ required=’1’/][contact-field label=’Boat Type’ type=’select’ required=’1′ options=’12ft Skiff ($150),Cherub ($100)’/][contact-field label=’Insurance Company’ type=’text’ required=’1’/][contact-field label=’Policy Number’ type=’number’ required=’1’/][contact-field label=’Skipper Name’ type=’text’ required=’1’/][contact-field label=’Skipper Email’ type=’email’ required=’1’/][contact-field label=’Crew Name’ type=’text’ required=’1’/][contact-field label=’Crew Email’ type=’email’ required=’1’/][contact-field label=’I have read and understand the terms of the disclaimer below’ type=’checkbox’ required=’1’/][/contact-form]
Payment options:
DIRECT BANKING:
BSB: 032038 Account: 690509
Note: include boat name in transaction details so payment can be identified
CHEQUE:
Payable to NSW 12ft Sailing Skiff Association
PO Box 1178
Lane Cove NSW 1595
CASH:
To association Treasurer (Murray Press)
Disclaimer:
I accept that it is the competitor’s decision to enter or to start and continue in any race. I accept that their participation is at their exclusive risk in every respect and that competing in sailing I am engaged in a dangerous sport. In consideration for my entry being accepted I hereby agree to give the indemnity, waiver, acknowledgement of risk and release from any claims, I agree to indemnify the Organising Authorities, the NSW 12ft Sailing Skiff Association, the respective Host Sailing Club(s), their officers, members, servants and agents in respect to all claims, howsoever arising or caused and any demands of whatever nature, which may be made upon them in connection with or howsoever arising from their participation or intended participation. I accept that the Organising Authorities, the NSW 12ft Sailing Skiff Association, the respective Host Sailing Club(s), their officers, members, servants and agents accept no responsibility and hereby release them from any liability, however arising or caused, including negligence or intentional act, in respect of loss of life, personal injury or loss or damage to property which may be sustained by reason of their participation or intended participation in an Event or howsoever arising in connection with any Event or occurrence. I acknowledge that this agreement may be called upon as a complete defense and contractual indemnity.
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