REGISTRATIONS FOR OPTIREACH – THE 2027 NORTH ISLAND CLINIC – ARE NOW OPEN

If you are not a member of NZIODA you need to register with us before completing this form. (click here to register)
Payment will be taken by credit card at the end of this form.

Sailor's First Name

Sailor's Last Name

Gender

Email Address

Sail Number

Fleet Selection

Date of Birth

Sailors Opti Age

Nationality

Yacht Club

Medical Conditions

Dietary Requirements

Contact Person 1

Contact Person - Name

Contact Person - Email

Contact Person - Telephone

Contact Person 2

Contact Person - Name

Contact Person - Email

Contact Person - Telephone

Financial Member of NZIODA
[If you are not a member of NZIODA you need to register your sailor to attend this clinic]

Yes No I have just completed membership form

Parent Help - can you provide assistance?
[Volunteers will be required to help the clinic run smoothly. A volunteer form will be shared closer to the clinic to confirm availability.]

Yes No Maybe

If yes or maybe, parents Name

Is there anything else we should be aware of?

I agree, that my sailor will be bound by the NZIODA policies and all other rules that govern this event. I understand that yachting has inherent risks and dangers that are beyond the control of the organizing authority. I understand that neither the organising authority and its officers, members and servants nor other persons assisting with this event accept any responsibility in respect of any injury or loss to person or property that may be sustained by reason of participation in this clinic or howsoever arising in connection with the North Island Clinic.

I agree to the use of my photograph(s) and other relevant information to be used in the ongoing promotion of New Zealand yachting. I agree to the Organising Authority and Yachting New Zealand holding the above information for the general administration and well-being of the sport, and for them to retain, use and disclose the information to affiliated organisations and any other persons or organisations that Yachting New Zealand believes will further the interests and objectives of Yachting New Zealand. I acknowledge my right to access to and correction of this information. The consent is given in accordance with the Privacy Act 1993.

I agree to clinic personnel administering medication / medical treatment to my sailor if necessary. (You will be notified of any emergency using your contact number above)

Contact Person 1

Contact Person 2

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