9th QUIRKY Club Meet (Sat 4th Dec)

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Who are you registering? Choose one Yourself Team

Team name   First name   Last name   Email address   Age on event date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 Gender -- Male Female Female/Male   Phone #   Emergency contact name   Emergency phone #   Distance - Craft Choose one Long Ocean Ski Long Double Ski Long SLSA Ski Long Sup Long OC 1 Long OC 2 Short Ocean Ski Short Double Ski Short SLSA Ski Short Sup Short OC 1 Short OC 2 Long Course RIVER Short Course RIVER   Age Groups Choose one 19 & Under 20-39 40-49 50-59 60-70 70+ Choose one 19 & Under 20-39 40-49 50-59 60-70 70+ Choose one 19 & Under 20-39 40-49 50-59 60-70 70+ Choose one 19 & Under 20-39 40-49 50-59 60-70 70+ Choose one 19 & Under 20-39 40-49 50-59 60-70 70+ Choose one 19 & Under 20-39 40-49 50-59 60-70 70+ Choose one 19 & Under 20-39 40-49 50-59 60-70 70+ Choose one 19 & Under 20-39 40-49 50-59 60-70 70+ Choose one 19 & Under 20-39 40-49 50-59 60-70 70+ Choose one 19 & Under 20-39 40-49 50-59 60-70 70+ Choose one 19 & Under 20-39 40-49 50-59 60-70 70+ Choose one 19 & Under 20-39 40-49 50-59 60-70 70+ Choose one 19 & Under 20-39 40-49 50-59 60-70 70+ Choose one 19 & Under 20-39 40-49 50-59 60-70 70+

Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver Mooloolaba Paddlers except no responsibility for paddlers. It is the responsibility of each paddler as an individual or team to ensure they are able to paddle 12km in the ocean in windy conditions, and medium swell. Paddlers must be able swim 50 meters, and float for 20 minutes unassisted. During the event all paddlers must wear a life jacket, and a leash per craft. All paddlers are reminded safety is first and are to assist any paddlers that may require assistance. Note: COVID 19 Rules apply keep your distance, wash your hands, use your own gear, download the COVID SAFE APP. I accept the terms of the waiver Name of parent or guardian who approves this activity