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Book me in for the Moturekareka Motuketekete Circumnavigation - Sun 25 March 2018
North Shore Yakity Yak Booking Form
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Name:
*
Your answer
Email Address
*
Your answer
Contact Number:
*
Your answer
Do you have any Injuries or Medical Conditions - if so please describe
*
Your answer
Emergency Contact Person and Number (ICE)
*
Your answer
I am a Fully Paid up Member of The Yakity Yak Kayak Club, I have read and understood the website descriptions for this trip.
*
(Please tick)
Yes
No - I need to rejoin please contact me
Required
Club Affiliation is:
*
Choose
North Shore
Auckland
Manukau
BOP
Hamilton
Taupo
New Plymouth
Wellington
VHF Call Sign if you have one
e.g. KayakNut ZMS 12345
Your answer
Make and Colour of your Kayak(s)
Or specify if you need a rental kayak
Your answer
Comments or info the leaders should be aware of
Your answer
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