74th Archery New Zealand
Nationals & NZ Open 2017
Trentham, Upper Hutt
December 31st 2016 – January 6th, 2017
(Official
Use Only)
Surname
First Name
Address
Date of Birth
Country
Male
New Zealand
Other
ur
Logo
here
Female
Identify:
Club
Archery NZ No:
Other
Association No.
Telephone
Mobile
Email
Discipline & Events – please write your category below! E.g. SM, M50M, CW or IW. See Codes on reverse page.
Division
Details
Division Code
e.g. M50M
Bare bow
Compound
Longbow
Recurve
Target
Field
Clout
Matchplay
Masters / Cadet Recurve only See Matchplay notes on reverse page
Ranking Round (RR) / Matchplay Options (Tick one option only)
Yes
Individual Matchplay
I want to shoot the
Burton /
Murrumbeena only
60m RR 60m Matchplay
No
Masters65+ Recurve
60m RR 70m Matchplay
70m RR 70m Matchplay
**PLEASE CHECK ALL DATA FIELDS & TICK BOXES; YOU are responsible for YOUR Entry Details
Target
EVENT FEES
Field
Clout
Includes
Match Play
MEN, WOMEN, JUNIOR ,
$95
CADET & MASTERS
$55
$45
Extra fee for nonANZ or non-WA
affiliated Members
Early Bird
Discount fee for
ALL events by
30 Sep 2016
Late Entry if
received on or
after 1 Nov
2016
$20
$160
$50
Banquet ConsiderationsMedicalHealthSpecial Needs
Vegetarian
Gluten-Free
Other
Medical/Other:
Entry Fee to be PAID IN FULL before 1 November 2016
+$20.00
Plus Equipment Levy
(Target events only)
+$20.00
GRAND TOTAL
Note: For Declaration purposes emailed entries will need to be physically signed at Registration.
Under the Privacy Act 1993 you have certain rights of access to and correction of personal information held by us.
AUTHORISATION STATEMENT
I,
consent to the annual ANZ Nationals committee collecting the details provided
above, retaining and using those details and disclosing them along with scores, results, photographs &
video from the tournament to bodies associated with archery, and the news media for the purpose of
involving me in ANZ's activities now and in the future. I acknowledge my right to have access to this
information. The consent is given in accordance with the Privacy Act 1993.
Registrar confirm
monies received
$
Balance (if any) to be
paid by 1 Nov 2016
$
$
Plus Judges Levy
(all events)
Banquet
No’s
**See over page for payment details
Once checked by Nationals Administrator – a copy of this entry form will be returned to
Archer as confirmation of entry and monies paid.
All Fees & Levies
Signature:
Date:
Registrar Signature
& Date
$65.00
$
$
Payment Details:
PLEASE POST
or
EMAIL
[email protected]
Archery Nationals 2017
INTERNET BANKING
20 Swanson Oaks
Account Name:
Archery New Zealand
Swanson
Bank & Number:
Kiwi Bank 38-9015-0468141-01
Auckland 0612
NEW ZEALAND
Reference:
Surname plus Initial(s) plus
NATS2017 (if space permits)
FEE
Fee MUST be paid in full to secure entry
CHEQUES
Payable to “ARCHERY NEW ZEALAND"
DISCOUNT
Early Bird if received before 30 Sep 2016
& paid in full
LATE ENTRY
If received on or after 1 Nov 2016
TELEPHONE ENQUIRIES
09 832 8114
Archer Division Codes
Division
Year of Birth
Code
Cadet Men
Cadet Women
Junior Men
Junior Women
Senior Men
Senior Women
Masters 50 – 64 Men
Masters 50 – 64 Women
Masters 65 + Men
Masters 65 + Women
2000 & 2001
2000 & 2001
1997 & 1998 & 1999
1997 & 1998 & 1999
any age
any age
1967 and earlier
1967 and earlier
1952 and earlier
1952 and earlier
CM
CW
JM
JW
SM
SW
M50M
M50W
M65M
M65W
Your Division code should look like this CM (= Cadet Men) or M65W (Masters 65+ Women)
Masters 65 + recurve Burton / Murumbeena option Eligible archers who wish to shoot this round
need to indicate this by ticking the box.
Recurve Cadet / Masters Match Play Notes:
The correct World Archery ranking / matchplay event for recurve CM, CW, M50M, M50W, M65M, M65W is
the 60m 72 arrow round (M50 and M65 age divisions combined as per WA rules). WA only recognises one
class for 50 + as ‘Masters’. Cadet & Masters recurve archers entering the target event will shoot the 60m
72 arrow round as part of their target event and are able to claim Archery NZ and world records in this
division. Cadet and masters recurve archers have the option to specify a preference to shoot the 60m
match play event if it is offered or shoot the 60m ranking round and join the 70m match (ranked
underneath archers who shot the 70m match play) or abandon the 60m ranking round and shoot the 70m
ranking round / match play.
NB: The 60m match play event will only run if there are 4 or more archers per division who want to shoot
this event. If there are insufficient numbers for the event to proceed then these archers will join the 70m
match play event (and be ranked underneath all those archers who shot the 70m ranking round).
Cadet / Masters recurve archers may elect to shoot the 70m ranking round as an alternative to the 60m
rank round to gain a higher ranking in the 70m match play event. Such archers are effectively abandoning
their normal class and therefore will not be eligible for medals in the target event but will be eligible in the
match play event.
Dress Code:
Archery NZ Dress Code as agreed at the AGM 2015.
Athletes shall be neatly and cleanly dressed in sporting attire. Such attire may be White, current Club,
Regional Squad or National Uniform, or sponsorship merchandise. Advertising must adhere to the World
Archery advertising eligibility rules (WA 2.2.6. and 2.2.7). These rules do not apply to field shooting.