MANAWATU MARINE BOATING CLUB (INC)

EASTER FISHING TOURNAMENT 2015

OFFICIAL ENTRY FORM

All entries must be on the official entry form and fees paid in full. Fees not refundable

Entries must be received by 22ndMarch to qualify for the EARLYBIRD DRAW.

Only Earlybird entrants will receive a tournament shirt.

CHILDREN There is one entry fee – any children entered will pay the full fee, be eligible to receive any of the prizes on offer, and receive an Earlybird shirt if entered by 22nd March. In addition there will be special childrens prizes.

You must register on your entry form for the special draws, ie MMBC Members, Veterans (over 60), Ladies & Children.

SHIRT Sizes: Adults: Mens S M L XL 2XL 3XL 4XL 5XL

Ladies 8 10 12 14 16 18 20 Child 8-10 10-12 12-14

Boat Name / Tow Vehicle
Rego # / Cell Phone #
Skippers Address / Email
Name / MMBC Club # / Shirt Size / C Child
V Veteran
L Lady
M Member / Office Use
Skipper
Crew
Crew
Crew
Crew
Crew
Crew

I enclose payment for (number) ______entrants @ $55 each $______Total

PAID BY:

Please return this form with payment to:□ Cheque

MMBC Fishing Coordinator, P O Box 7, Foxton Beach 4849 □ Cash

Payment may be made by eftpos/cash/cheque at Club bar or □ Eftpos

□ On line

On Line to MMBC account:030633-0021346-000

Date of direct credit payment: / / 2015

Please enter details as your boat name and “Easter entry”, and forward entry form to the Club.

REGISTRATION CAN ONLY BE PROCESSED ONCE BOTH THE ENTRY FORM AND PAYMENT HAVE BEEN RECEIVED

THE BOAT SAFETY CHECKLIST OVER PAGE, FORMS PART OF YOUR ENTRY AND IS MANDATORY TO COMPLETE - INCOMPLETE ENTRIES WILL NOT BE ACCEPTED

MANAWATU MARINE BOATING CLUB

BOAT REGISTRATION AND SAFETY CHECKLIST

Information supplied below will be collated and kept on the Manawatu Marine Boating Club Data base and in the event of an emergency will be provided to the Manawatu Coastguard to assist them in your rescue.

BOAT NAME: / BOAT OWNERS NAME:
HOME PHONE #: / MOBILE PHONE #
BOAT MAKE: / BOAT LENGTH: / BOAT COLOUR:
BOAT MOTOR MAKE: / HORSE POWER:
TRAILER REG’N # / CALL SIGN
SAFETY ITEMS REQUIRED AS SUGGESTED BY COASTGUARD please tick the items carried on your boat
Anchor & chain (chain should be equal to boat length / Anchor rope
Bailer / Bilge Pump
Boat Hook / First Aid Kit
Knife / Navigation Lights
Torch / EPIRB
Fire Extinguisher (in Test) / Life Jackets (one per person)
Radio VHF / Boat name on both sides
Flares (in Test) 1 Parachute, 2 Hand Held & 2 Smoke / Boat name on trailer

I have read and accept the contest rules and my crew and I will indemnify the Manawatu Marine Boating Club Inc. for any loss damage and / or liability suffered by the Manawatu Marine Boating Club Inc., relating to anything done or not done by you or to any mishap suffered by you in regards to any event.

My crew and I agree to abide by the Manawatu Marine Boating Club Inc’s rules

Signed……………………………………………………………Date …………………

Skipper / Boat Owner