2015 Central Districts Gliding Championships 
Waipukurau Airfield, Central Hawke’s Bay

Practice Day:	Saturday 14th February 2015
Contest Days:	Sunday 15th February to Saturday 21st February 2015

ENTRY FORM

PILOT DETAILS	 				

Name:	

E-mail Address: ________________________________________________________
Postal Address: ______________________________________________________________
            ______________________________________________________________
Club: ____________________________
Home Telephone: ___________________	 Mobile Telephone: _________________
Emergency Contact Name: _____________________   Phone________________________
First GNZ Competition          Yes / No		 FAI Badge(s):________________
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AIRCRAFT		(Documentation to be verified at Registration) 

Registration: _______       Manufacturer / Type:    ____________________

Class Entered: ________________________________

Handicap Claimed: ___________________________	

GPS Make & Model: ________________________

GPS Serial No: _______________
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CREW 

Name: __________________________	Telephone (during contest): __________________

Car Type/Registration: ______________________________________________

Trailer Registration: ____________________

Crew Instructions: _________________________________________________________
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NOTE. Cleared Flights through Transponder Mandatory airspace will not be penalised.

HEIGHT RECORDING GPS ARE REQUIRED FOR ALL SCORING
Scoring: Only standard data cables for GPS download will be available from the organisers.
ENTRY FEES:    $180 full entry for early-bird     $210 if paid on or after 12th January 2015
		   $60 per day for early-bird          $70 if paid on or after 12th January 2015

Tow fee deposit: $100 (refundable). Tows Payable as per current tow costs. All tow costs along with any other costs due will be invoiced via e-mail once the contest has concluded.				
Payment options are on the next page
DECLARATION (to be signed by each pilot)

I, ____________________________________________________________ (print name), hereby apply to compete in the Central Districts Gliding Championships and agree to abide by the Competition Rules of Gliding New Zealand. 

In consideration of this entry being accepted I agree to save harmless indemnify and keep indemnified Gliding New Zealand, Gliding Hawke’s Bay and Waipukurau Inc,  the Sailplane Racing Committee and their respective officers, members, employees, agents, and representatives (the "organisers") against all actions, suits, claims and demands costs, damages and expenses to which the organisers shall or may be liable for or in respect of any loss, damage, accidents or injury of whatsoever nature or kind and howsoever sustained or occasioned and whether to aircraft property or persons arising directly or indirectly or in connection with these gliding championships or activity related thereto and notwithstanding that any  waiver or other indulgence has been given to any pilot(s) in respect of any obligation and I shall and do hereby fully and completely indemnify and protect the organisers against all or any liability for damage loss or injury caused by any act, omission or negligence on the part of me and my servants, agents or crew.

I further declare that:

a)	The entered aircraft will have a current annual/tech log.
b)	The entered aircraft will have an operable Mode C capable transponder if flight into controlled airspace is to be undertaken. It is understood that tasks may be set inside of transponder mandatory airspace.
c)	The entered aircraft will have an operable airband transceiver radio.
d)	The entered aircraft will have fitted or the pilot in command will have on their person an Emergency Locator Transmitter.
e)	The entered aircraft will have current aeronautical charts covering the competition area.
f)	The pilot is a Qualified Glider Pilot certified by the national body of their home country, including a Flight Radio Operators qualification.
g)	The pilot will have a current BFR.
h)	The pilot and aircraft are covered by current third party insurance cover to the value of at least $500,000.
i)	The pilot will wear a serviceable parachute, which has been packed within the last 12 months, during flight in the competition.
j)	The pilot is a current financial member of Gliding New Zealand.
k)	The Contest Director may use flight tracks recovered from the competitors GPS for administrative and promotional activities.

Signed: 

Date:  

Entry and payment options 
1. Post this entry form with cheque made out to Gliding Hawke’s Bay & Waipukurau Inc to Contest Director, Gliding Hawke’s Bay & Waipukurau, Hastings Aerodrome, 1591 Maraekakaho Road, RD 5, HASTINGS 4175
OR
2. Pay directly to HBS Account 03-1355-0690287-00 with your name as reference and e-mail this complete form to info@glidinghbw.co.nz and johnmac@inhb.co.nz 

E & OE