Participant Registration – 93rd Stonehaven

Participant Information

Participant Name
Participant Name
First
Last
If you are the skipper, please ensure that you complete the Boat Registry.
Have you passed a swimming assessment
Do you have approved safety gear(incl buoyancy vest & protective clothing)

Participant Medical Information

Confidential medical Information (This information is intended to assist in case of a medical issue or emergency. All participants are to complete this form as a pre-requisite for entering the Stonehaven Cup Regatta.)
Does participant suffer from any of the following
Allergies to
Is participant taking tablets and/or medicine

Parent Information

Parent/Guardian
Parent/Guardian
First
Last
Will you be volunteering? Please fill out the Volunteer Form. Please note volunteers must still pay for their presentation dinner, but lunches are provided.

Payment

For participant
Will others (coaches, volunteers or family members) be joining the participant for meals?
If coaches, volunteers or family members will be joining in for lunches and/or presentation dinner please specify how many extra of each.

Cost
Lunches (4 days) $63pp (volunteers are provided with lunch)
Presentation Dinner: $57/adult, $40/under 18

0
0
0
Who should we call to collect payment?
Name of individual paying
Name of individual paying
First
Last

Terms

Stonehaven Indemnity Form
We (parent and/or participant) have read the Stonehaven Indemnity form