1.Who are you registering for our Christmas Sailing? (full name)

2.What is your email address?

3.Are you a current member of Port Lincoln Yacht Club?

Yes

No

If no, please state how you heard about this event:

4.How old is the person being registered?

5-9 years

10-15 years

16-30 years

31-50 years

Over 50 years

5.Would you like to skipper, or crew?

Skipper

Crew

Don't mind, happy to do either

6.Are you an experienced sailor?

I have never sailed

I am currently learning to sail

I have sailed for a while

I am a competent sailor

I am a very competent sailor

7.Do you have any medical concerns?

Yes

No

If yes, please state nature of medical concern: