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Parent and Child Weekend 2020
Please select:
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Father and Child Weekend, 6th & 7th June - 1 son/daughter
Father and Child Weekend, 6th & 7th June - 2 x sons/daughters
Mother and Child Weekend, 5th & 6th Sept - 1 son/daughter
Mother and Child Weekend, 5th & 6th Sept - 2 x sons/daughters
Parent Name
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Parent Last Name
*
Son/Daughter Name
*
Son/Daughter Last Name
*
Son/Daughter Name (if two)
Son/Daughter Last Name (if two)
Address
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City
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Post Code
*
Phone Number
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Email Address
*
Parent Ethnicity
*
New Zealand European
Maori
Pacific Peoples
Asian
European
Middle Eastern/Latin American/African
Other
Parent Date of Birth
*
+
Son/Daughter Ethnicity
*
New Zealand European
Maori
Pacific Peoples
Asian
European
Middle Eastern/Latin American/African
Other
Son/Daughter Date of Birth
*
+
Son/Daughter Ethnicity (if two)
New Zealand European
Maori
Pacific Peoples
Asian
European
Middle Eastern/Latin American/African
Other
Son/Daughter Date of Birth (if two)
+
Emergency Contact Name - 1
*
Emergency Contact Phone Number - 1
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Emergency Contact Name - 2
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Emergency Contact Phone Number - 2
*
Medical Conditions and/or Dietary Requirements - if yes please specify and provide information
Sailing Experience:
Sailing Experience on Steinlager 2 or Lion New Zealand:
Yes please I would like to purchase some New Zealand Sailing Trust merchandise:
Cap $25.00
Short Sleeved T-Shirt $29.95
Long Sleeved T-Shirt $38.00
Clothing size preference
Mens Small
Mens Medium
Mens Large
Mens XL
Mens XXL
Womens Small
Womens Medium
Womens Large
Womens XL
Formatted Text
Participant Signature (Parent signature if under 18 years old)
*
clear
Date
*
+
Name
*
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