2022/23 Flying 11 Registration – Manly 16ft Skiff Sailing Club

Name*
First Last
Date of Birth*

Day
Month
Year
Gender
- M
- F
Address*
Street Address City State Post Code Country
Phone*
Email*
Parent/Guardian Membership Number*

If there is no Parent or Guardian that is a financial member of Manly 16ft Skiff Sailing Club your registration will not be accepted. Please contact the club office immediately to arrange membership.
Your Membership Number*
Emergency Contact Name*
Relationship*
Telephone*