Ski-nZ Ground Crew Form 2015 This is an electronic form to be completed by each ‘Ground Crew’ person attending. Please fill in all questions then submit by clicking on ‘Done’ at the end of the form.Each 'Ground Crew' person is required to pay a provisions levy (not to exceed $600 per person and will include: Most meals, entertainment and merchandise. The provisions levy will be set to cover actual costs.) Question Title * 1. Personal Details Title First Name Last Name Preferred Name/Nickname Company Occupation Mobile Home Phone Work Phone Fax Email Address (Work / Home?) Suburb Post Code City Question Title * 2. Men's shirt size? S M L XL 2XL 3XL 4XL 5XL Question Title * 3. Ladies shirt size? 8 10 12 14 16 18 20 22 Question Title * 4. Rash shirt required at $65? Yes No If yes, please state size: Question Title * 5. PLEASE NOTE: Your drivers licence must be shown at Registration Driver’s Licence Number Driver’s Licence Expiry Driver’s Licence Class Question Title * 6. Medical Information (Strictly Confidential) D.O.B Next of Kin NOK Phone NOK Alt Phone Allergies/Dietary Requirements (eg. vegetarian) Past Medical History Current Medical Condition/Medication Please send a recent head & shoulders photo by email to burfoot@xtra.co.nz. This will be used for ID purposes. Done
