Number of Crew on Board
BOAT OWNER / SKIPPER
Tick if participating:
1.
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
Boat Mobile:
Tick if participating:
2.
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
Boat Mobile:
CREW MEMBERS
Tick if participating:
3.
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
Tick if participating:
4.
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
Tick if participating:
5.
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
Tick if participating:
6.
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
Royal South Australian Yacht Squadron 2016 - 2017
Macdonnell Sound
Island Cup
Adelaide - Pt Lincoln
Ardrossan Race
Jubilee Cup
VHF / HF
Haystack Island
Radio (please circle)
Tapley Shoal
Sail No:
Fist Aid Certificate
Yacht Name:
Sea Safety
Club Membership
Offshore Crew Registration Form
2016 - 2017
7.
Tick if participating:
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
8.
Tick if participating:
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
9.
Tick if participating:
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
10.
Tick if participating:
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
11.
Tick if participating:
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
12.
Tick if participating:
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
13.
Tick if participating:
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
Royal South Australian Yacht Squadron 2016 - 2017
Macdonnell Sound
Island Cup
Adelaide - Pt Lincoln
Ardrossan Race
Jubilee Cup
Haystack Island
Tapley Shoal
Sail No:
Fist Aid Certificate
Yacht Name:
Sea Safety
Club Membership
Offshore Crew Registration Form
2016 - 2017
14.
Tick if participating:
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
15.
Tick if participating:
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
16.
Tick if participating:
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
17.
Tick if participating:
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
18.
Tick if participating:
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
19.
Tick if participating:
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
20.
Tick if participating:
Name:
AS Number:
Emergency Contact:
Emerg. Contact Ph:
Royal South Australian Yacht Squadron 2016 - 2017
Macdonnell Sound
Island Cup
Adelaide - Pt Lincoln
Ardrossan Race
Jubilee Cup
Haystack Island
Tapley Shoal
Sail No:
Fist Aid Certificate
Yacht Name:
Sea Safety
Club Membership
Offshore Crew Registration Form
2016 - 2017