Canungra Classic 2001 Entry Form

Please note: You need a email enabled web browser to use this form. You will receive a reply within a week to confirm your entry. Otherwise send me an email with this info and I will enter you. Remember to press the submit button at the bottom of the form.

HGFA No:
Given Name, Surname:
Address:
City, Postcode, State:
Phone:
Fax:
Mobile:
Email:
Gender:
Date of Birth:
HG Club:
Glider Make, Model, Size:
Undersurface Colours:
Glider Number:
GPS 1 Make and Model:
GPS 1 Serial Number:
GPS 2 Make and Model:
GPS 2 Serial Number:
Rating:
Grade:	Check HGFA A Grade list and HGFA B Grade list
Glider Class:
Next of Kin (Name and Contact):