Event registration

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Details

ILCA Queensland Mid Winter Regatta

4th - 5th July 2026

RQYS

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First name*

Last name*

Phone number*

Email address*

Address*

Boat Name*

Sail Number*

Sailing Club*

Intended Rig*

Birthdate*

Insurance Company*

Insurance Policy Number*

Emergency Contact Name*

Emergency Contact number*

Gender*

Please note

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*