Program of Merit Application Form - South of Perth Yacht Club

This form is for application of the Program of Merit from South of Perth Yacht Club in accordance with the Program of Merit Policy. Please complete all details and submit on this page. Incomplete forms will not be considered.

Participant’s Details:

Surname: *

Given Name: *

Member Number:

Application Date: *

Phone Number: *

Address:

Suburb:

Postcode:

Email: *

Other details:

List details of participation in club activities over the past two years such as training, racing, volunteering, instructing and coaching:

Please upload a Sport Technical Plan outlining your planned travel and events for the year of application: *

Maximum file size: 52.43MB

Parent/Legal Guardian (if participant is under 18):

Parent/Legal Guardian Name:

Parent/Legal Guardian Email:

Parent/Legal Guardian Application Approval - Please check box

Check if approved

Declaration:

In applying for this Program of Merit I agree to the terms outlined in the Program of Merit Policy. I agree to represent SoPYC and promote the Club, and will submit a season and/or regatta summary, including multimedia content suitable for inclusion in Club publications, to the Head Coach. *

Declaration

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