Geographe Bay Yacht Club

GEOGRAPHE BAY RACE WEEK
Saturday 6th to Friday 12th February 2021
Entries received by 31st December are eligible for the “Early Bird” raffle.

Registrations from 22nd Jan 2021 will incur a Late Nomination Fee of $75.00.

NOTE: GBRW fees of $310 DO NOT include mooring or pen fees.
Rates are available separately from Port Geographe Marina. To make an enquiry please phone the Marina on 9754 8300 or | Email:info@pgmarina.com.au

If you DO NOT wish to use this online registration form, please download THIS FORM and return together with current copies of your
1. Boat Insurance Details
2. Equipment Audit Form (if available at time of this entry)
by: Email:raceweek@gbyc.com.au | Post: GBRW PO Box 243 Busselton WA 6280.

(*) Denotes required fields

Entrants details

First Name *

First name?

Postal Address*

Postal address?

Phone No*

Phone No?

Last Name*

Last name?

Suburb*

Suburb?

Email*

Email?

Home Yacht Club

Please enter home yacht club

Post Code*

Post code?

Details Required for Race Week 2021

Name of Skipper*

Skipper?

Australian Sailing No*

Please enter ASN

Contactable Phone No *

This mobile number will be used to receive SMS messaging from the
Principal Race Officer in the event of start time delays etc.

GBRW Division Entered*

Invalid Input

4UP Option

Yes
No
Invalid Input
I understand to be eligible for a "4up" trophy, I must sail with
NO MORE than 4 crew (including the skipper) for the entire regatta.
I acknowledge that I will be sailing the same courses as my chosen division.

Upload Proof of Insurance (PDF or JPEG format)

Current Proof of Insurance?

Upload Equipment Audit Form (PDF or JPEG format)

Invalid Input

Yacht Name*

Yacht name?

Yacht Design / Class*

Class/Design?

Sail Number*

Sail No?

Draft (mtrs)*

Draft (mtrs)?

Beam (mtrs)*

Beam (mtrs)?

Length (mtrs)*

Length (mtrs)?

Keel Type*

Invalid input

National Equipment Audit No (if applicable)

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Terms and Conditions
(Name of authorised person)*

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As the authorised person, I certify that prior to and during the 2021 GBRW Regatta, the registered vessel will have complete Boat Insurance of $10 million and a current Equipment Audit form, as required by Geographe Bay Race Week (GBRW) and Geographe Bay Yacht Club (GBYC). I agree to the terms and conditions as listed in the GBRW Notice of Race and acknowledge that the listed organisations will not be liable for any loss, damage or injury to any property or person that may be incurred by me, my crew, or the registered boat during the 2021 GBRW Regatta.
Proof of Insurance and Equipment Audit form, must be sighted at time of registration if not included with this entry.

Payment due:

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Choose payment method

Paypal account or Visa / Mastercard
Direct Debit

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On submission of this form, the information provided will be forwarded to the Geographe Bay Yacht Club for processing.