ADF & Veterans Regatta Entry

Australian Defence Force & Veterans Regatta

1 April 2022 - Hosted by Royal Prince Alfred Yacht Club
Participant Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Service status*
Rank*
Service / Organisation
Team Name
Australian Sailing Information
Temporary Sailing Membership – ‘Sail Pass’ All participating sailors must have an active Australian Sailing number by being an active member of an affiliated club. If a participant does not have a membership with an affiliated club, they can register for a free temporary sailing membership on the selected race days using RPAYC SailPass. https://rpayc.com.au/sail-pass/
Australian Sailing Number:

Medical Information
Date

DayMonthYear
Date
Please check if any of the following Medical Conditions apply:

AllergiesEpilepsy / SeizuresInjuriesVision or Hearing ImpairmentAsthmaHeart DiseaseLow Blood PressureWearing Contact Lenses
Other medical conditions / further details:
Please list any information to assist our staff.
Special dietary requirements:
Medicare number
Do you have private medical insurance?

In case of incident, please notify:
Emergency Contact Name:*
Emergency Contact Relationship:*
Emergency Contact Phone:*
Emergency Contact Email:*

Participant Medical Release & Responsibility
Medical Release

I, the undersigned, do hereby authorise and give consent for the participant to compete in the above mentioned regatta and if required consent to medical treatments to be applied, if recommended or required I consent to been taken or to hospital/medical Centre and or for an Ambulance to be contacted. [RPAYC policy for any head injury is to contact the Ambulance Service]. It is understood that effort shall be made to contact the undersigned prior to rendering treatment to the patient, but that any of the above treatment will not be withheld if the undersigned cannot be reached. It is understood that in the event of medical treatment being authorised by the Club or its duly authorised agent that I will indemnify the Royal Prince Alfred Yacht Club from any consequence arising there from (including the payment of medical expenses).
COVID-19 Responsibility

I agree to comply with COVID-19 Safe Practices while present on the premises of the Royal Prince Alfred Yacht Club, including mandatory sign in and social distancing where possible. Participants are not to compete if showing symptoms of COVID-19 and should seek a test. Symptoms include fever, dry cough, sore throat, shortness of breath, runny nose, loss of taster and/or loss of taste.
Drugs & Alcohol

Participants must not consume alcohol whilst taking part in racing or onboard RPAYC vessels. Participants under the age of 18 years must not consume any alcohol at all times throughout the event, and on Royal Prince Alfred Yacht Club premises. Consumption any illegal or improper drug will not be tolerated either during the day or evening activities. Competitors are reminded of RRS 6.
Representation

Participants are reminded that they are representatives of their home club. Participants are to treat the club facilities, members & guests, with the utmost respect. Disrespectful behaviour will not be tolerated.
Agreement*

I have read and agree to the above items, and agree to undertake these responsibilities.
Signature

Clear
Please click 'Submit' to complete your registration.
Should be Empty:

Australian Defence Force & Veterans Regatta

Australian Sailing Information

Medical Release

COVID-19 Responsibility

Drugs & Alcohol

Representation