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Please Book me in for the Waiheke Island Cycle Ride 12 November 2017
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:
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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 ?
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