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National Multi Class Championships Entry Form

Pilot Information
Pilot 1 Name*
Pilot 2 Name
E-Mail*
Phone Contact(s)*
Mobile Phone (during contest)
Competition Info
Glider Type*
Glider Rego*
Class
Are you over 60 years old?*
Have you flown an NZ Nationals before?*
Is your glider Flarm Equipped (tick for yes)
Is your glider Spot Equipped? (tick for yes)
GPS Serial Number
Crew
Crew Name
Crew Phone (during comp)
Vehicle Type & Rego
Trailer Type & Rego
Comments
Emergency Contact
Emergency Contact Name
Emergency Contact Phone

Entry Fee

Entry fee before 1st January: $240 plus go in the draw to win an ICOM Handheld Radio

Entry fee after January 1st: $290 and no radio.

Entry fees to be paid at the contest.

Terms & Conditions

By completing and submitting this form you agree that:
  • The glider will be legal to fly during the duration of the contest.
  • The pilot(s) will be legal to fly during the period of the contest
  • You have current Third party insurance to the value of $500,000
  • You have read and agree to abide by the racing rules and local rules.

I agree to save harmless indemnify and keep indemnified Gliding New Zealand, the Taupo Gliding Club, the Sailplane Racing Committee and their respective officers, members, employees, agents, and representatives (the "organisers") against all actions, suits, claims and demands costs, damages and expenses to which the organisers shall or may be liable for or in respect of any loss, damage, accidents or injury of whatsoever nature or kind and howsoever sustained or occasioned and whether to aircraft property or persons arising directly or indirectly or in connection with these gliding championships or activity related thereto and notwithstanding that any waiver or other indulgence has been given to any pilot(s) in respect of any obligation and I shall and do hereby fully and completely indemnify and protect the organisers against all or any liability for damage loss or injury caused by any act, omission or negligence on the part of me and my servants, agents or crew

Type "AGREE" to confirm that you agree to the terms & conditions*
'*' indicates required field