JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Please Book me in for the Tour de Te Atatu Cycle Ride 20 August 17
North Shore Yakity Yak Booking Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
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
Do you need a bike - some may be available
Yes
No
Maybe
Anything else we should know about ?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
