Compulsory Field
Skipper Details
Please provide relevant details for the Skipper/Driver of the Boat
Compulsory Field
Compulsory Field
Compulsory Field
Compulsory Field
Compulsory Field
Compulsory Field
Boat Details
Compulsory Field
Compulsory Field
Compulsory Field
Compulsory Field
Emergency Contact Details
Compulsory Field
Compulsory Field
Compulsory Field
Insurance Details
All boats must be insured. Please provide relevant insurance details.
Compulsory Field
Compulsory Field
Compulsory Field
Please confirm you have public liability insurance of $5,000,000+ on the vessel
Compulsory Field
Items

Available items are listed below. Please check the box against any optional items that you would like to select.

Select Name Cost
2018 Aust Youth Champs Support Person/Boat
Yes $25.00