Canberra Yacht Club
Welcome to the Canberra Yacht Club

2005/6 Childrens Sailing Programs
K09  April Holiday Course Kids No 9 30/1/2006
18th Tues, 19th Wed , 20th Thur, 21st Fri April 4 Day Course
Event is for persons aged between 7 and 18. There are only 5 places for under 8 years old.
* Denotes required fields.
Title First Name Init  Last Name
* *
DOB *
Address 1. *
Address 2.
Suburb * State * PCode *
Phone H * Phone W
Mobile
  Email
Are you are members of the Canberra Southern Cross Club
Current Canberra Southern Cross Club membership number
Is the participant a Little Tacker ?
Emergency Contact Name:
Emergency Contact Number:
Do you have any relevant condition which may affect ability to participate. e.g Medical
Details of condition:
Can the participant swim 25 meters with clothes on ?
 
Canberra Yacht Club 2005 - 2009