Fishing Competition Form
Event date
Competing boat details
Boat name
*
Boat model
*
Skipper name
*
First Name
Last Name
Cell phone
*
Email
*
example@example.co.nz
Region
*
Please Select
Northland
Auckland
Waikato
Bay of Plenty
Gisborne
Hawke's Bay
Taranaki
Manawatū-Whanganui
Wellington
Tasman
Nelson
Marlborough
West Coast
Canterbury
Otago
Southland
Skipper T-shirt size
*
Please Select
SMALL
MEDIUM
LARGE
XL
2XL
3XL
4XL
5XL
Support coastguard?
Donate $10 to Coastguard
Emergency contact details
Please provide contact details for someone not on the boat
Name
*
First Name
Last Name
Phone
*
Boat crew
Add crew 1
1
Name
First Name
Last Name
Email
Phone
T-Shirt
Please Select
SMALL
MEDIUM
LARGE
XL
2XL
3XL
4XL
5XL
Kids 2
Kids 4
Kids 6
Kids 8
Kids 10
Region
Please Select
Northland
Auckland
Waikato
Bay of Plenty
Gisborne
Hawke's Bay
Taranaki
Manawatū-Whanganui
Wellington
Tasman
Nelson
Marlborough
West Coast
Canterbury
Otago
Southland
Donate to coastguard ($10)
2
Add crew 2
3
Name
First Name
Last Name
Email
Phone
T-Shirt
Please Select
SMALL
MEDIUM
LARGE
XL
2XL
3XL
4XL
5XL
Kids 2
Kids 4
Kids 6
Kids 8
Kids 10
Region
Please Select
Northland
Auckland
Waikato
Bay of Plenty
Gisborne
Hawke's Bay
Taranaki
Manawatū-Whanganui
Wellington
Tasman
Nelson
Marlborough
West Coast
Canterbury
Otago
Southland
Donate to coastguard ($10)
4
Add crew 3
5
Name
First Name
Last Name
Email
Phone
T-Shirt
Please Select
SMALL
MEDIUM
LARGE
XL
2XL
3XL
4XL
5XL
Kids 2
Kids 4
Kids 6
Kids 8
Kids 10
Region
Please Select
Northland
Auckland
Waikato
Bay of Plenty
Gisborne
Hawke's Bay
Taranaki
Manawatū-Whanganui
Wellington
Tasman
Nelson
Marlborough
West Coast
Canterbury
Otago
Southland
Donate to coastguard ($10)
6
Add crew 4
7
Name
First Name
Last Name
Email
Phone
T-Shirt
Please Select
SMALL
MEDIUM
LARGE
XL
2XL
3XL
4XL
5XL
Kids 2
Kids 4
Kids 6
Kids 8
Kids 10
Region
Please Select
Northland
Auckland
Waikato
Bay of Plenty
Gisborne
Hawke's Bay
Taranaki
Manawatū-Whanganui
Wellington
Tasman
Nelson
Marlborough
West Coast
Canterbury
Otago
Southland
Donate to coastguard ($10)
8
Add crew 5
9
Name
First Name
Last Name
Email
Phone
T-Shirt
Please Select
SMALL
MEDIUM
LARGE
XL
2XL
3XL
4XL
5XL
Kids 2
Kids 4
Kids 6
Kids 8
Kids 10
Region
Please Select
Northland
Auckland
Waikato
Bay of Plenty
Gisborne
Hawke's Bay
Taranaki
Manawatū-Whanganui
Wellington
Tasman
Nelson
Marlborough
West Coast
Canterbury
Otago
Southland
Donate to coastguard ($10)
10
Add crew 6
11
Name
First Name
Last Name
Email
Phone
T-Shirt
Please Select
SMALL
MEDIUM
LARGE
XL
2XL
3XL
4XL
5XL
Kids 2
Kids 4
Kids 6
Kids 8
Kids 10
Region
Please Select
Northland
Auckland
Waikato
Bay of Plenty
Gisborne
Hawke's Bay
Taranaki
Manawatū-Whanganui
Wellington
Tasman
Nelson
Marlborough
West Coast
Canterbury
Otago
Southland
Donate to coastguard ($10)
12
TotalToPay
Initial
Total to pay
*
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NZD
13
Payment Methods
Choose from one of the PayPal options to
make your payment.
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