NSC Health and Safety Declaration

NSC Safety Declaration

All Sailor home safe every day,
Event*

Club RacingNapier Port Optimist NISummer RegattaILCA Nationals

Helm Information
Name*

First NameLast Name
Preferred Name
Gender
Date of Birth*

DayMonthYear
Date
Email
example@example.com
Phone Number

Phone Number
Health / Medical / Allergies / Medications
Notes

Emergency Contact
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship *

Photogrpahy / Filmography; Competitors and/or their guardians grant the Organising Authority, and any party to which they may be delegated this right, without payment the right in perpetuity to make use, or show (including via the internet), any motion pictures, still pictures, live, taped or filmed television, or any other form of media, of or relating to the event.
Media / Risk Statement
RRS 3 states: ‘The responsibility for a boat’s decision to participate in a race or to
continue to race is hers alone.’ By participating in this event each competitor
agrees and acknowledges that sailing is a potentially dangerous activity with
inherent risks. These risks include strong winds and rough seas, sudden changes
in weather, failure of equipment, boat handling errors, poor seamanship by other
boats, loss of balance on an unstable platform and fatigue resulting in increased
risk of injury. Inherent in the sport of sailing is the risk of permanent,
catastrophic injury or death by drowning, trauma, hypothermia or other causes.
Declartion*

I agree to be bound by the Racing Rules of Sailing and all other rules that govern this event.I understand that yacht racing has inherent risks and dangers that are beyond the control of the organizing authority.I understand that neither the organising authority and its officers, members and servants nor other persons assisting with the conduct of the regatta accept any responsibility in respect of any injury or loss to person or property that may be sustained by reason of participation in the regatta or howsoever arising in connection with the regatta.I agree to the use of my photograph(s) and other relevant information in any event publicity and in the ongoing promotion of New Zealand yachting.I agree to the Organising Authority and Yachting New Zealand holding the above information for the general administration and well-being of the sport, and for them to retain, use and disclose the information to affiliated organisations and any other persons or organisations that Yachting New Zealand believes will further the interests and objectives of Yachting New Zealand.I acknowledge my right to access to and correction of this information.The consent is given in accordance with the Privacy Act 1993.
Helm or Guardian Signature

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Date

DayMonthYear
Date
Hour Minutes
Fleet Rep / Safety Officer

First NameLast Name
Rep Signature

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NSC Safety Declaration

Helm Information

Emergency Contact

YNZ Safety Regulations

Media / Risk Statement