Event registration

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Details

State Heats 26/27

Sat 21 Nov 2026 1:00PM - Sun 22 Nov 2026 5:00PM
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Henley Sailing Club

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Skipper*

Skipper AS Number*

Skipper home club*

Skipper Date of Birth*

Skipper gender*

Male

Female

Non-binary

Differently identify

Skipper email*

Skipper mobile*

Skipper emergency contact name*

Skipper emergency contact number*

Skipper Medical Conditions Max 255 characters

Crew*

Crew AS Number*

Crew home club*

Crew Date of Birth*

Crew gender*

Male

Female

Non-binary

Differently identify

Crew email*

Crew mobile*

Crew emergency contact name*

Crew emergency contact number*

Crew Medical Conditions Max 255 characters

Boat name*

Sail number*

Boat Insurance Provider*

Insurance Policy Number*

Select tickets

All days - State Heats Bulk Nomination

$120.00 ea

Weekend 1, HSC, 21/22 Nov

$70.00 ea

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*