REGATTA REGISTRATION FORM

IMPORTANT:
YOU MUST BE A MEMBER OR A GUEST OF A MEMBER OF LAKE EYRE YC TO ENTER
Membership Form at https://www.lakeeyreyc.com/Membership.html
An entry form must be completed for each vehicle attending

Use TAB KEY or MOUSE CLICK to move through fields
Please check your entries before registering
An email will be sent to the email address you enter with your ticket
If you do not receive it within a few minutes check your Junk folder.
If it is there mark it as not junk so that future emails from LEYC will be placed in your In Box
Problems/changes email: Commodore@LakeEyreYC.com

Firstname Lastname
Preferred Name Member #
Vehicle Make Model Rego Number
Street Town State Pcode
Phone Email
ADDITIONAL PERSONS IN YOUR VEHICLE CHILD U16:
Firstname Lastname Child (Y/N)
Firstname Lastname Child (Y/N)
Firstname Lastname Child (Y/N)
Firstname Lastname Child (Y/N)
BOATS WITH YOUR VEHICLE: Boat Class Rego/Sail Number/Name
Boat Class Rego/Sail Number/Name
Boat Class Rego/Sail Number/Name
Number attending Briefing Meal Sun 27 September ($TBA)
Number attending Presentation Dinner Sat 3 October ($TBA)
Dates arriving/departing Clubhouse at Marree: Before After
Questions/Comments/Additional Information (Insert Members name if you are a guest)