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Details
Date TBA
Yacht Club, 1 King Street, Busselton WA 6280
Are you attending this event?
Yes
No
Maybe
Basic details
First name*
Last name*
Phone number*
Email address*
Address*
Additional information
Boat Name
Sail No
Division
Please select...
Div 1 - Racing
Div 2 - Racing
Super 30 Fleet
Premier Cruising
Jib & Main
Multihull
Short Handed
Viper
Flying 15
Trailer Sailer
Onboard Contact No
Search for Australian Sailing Numbers
Skipper Name
ASNumber
Days skippering?
Sunday
Monday
Tuesday
Thursday
Friday
Onshore Contact Name
Onshore Contact No
Crew 1 - Name
Crew 1 - ASNumber
Crew 1 - Days sailing?
Sunday
Monday
Tuesday
Thursday
Friday
Crew 1 - Onshore Contact Name
Crew 1 - Onshore Contact No
Crew 2 - Name
Crew 2 - ASNumber
Crew 2 - Days sailing?
Sunday
Monday
Tuesday
Thursday
Friday
Crew 2 - Onshore Contact Name
Crew 2 - Onshore Contact No
Crew 3 - Name
Crew 3 - ASNumber
Crew 3 - Days sailing?
Sunday
Monday
Tuesday
Thursday
Friday
Crew 3 - Onshore Contact Name
Crew 3 - Onshore Contact No
Crew 4 - Name
Crew 4 - ASNumber
Crew 4 - Days sailing?
Sunday
Monday
Tuesday
Thursday
Friday
Crew 4 - Onshore Contact Name
Crew 4 - Onshore Contact No
Crew 5 - Name
Crew 5 - ASNumber
Crew 5 - Days sailing?
Sunday
Monday
Tuesday
Thursday
Friday
Crew 5 - Onshore Contact Name
Crew 5 - Onshore Contact No
Crew 6 - Name
Crew 6 - ASNumber
Crew 6 - Days sailing?
Sunday
Monday
Tuesday
Thursday
Friday
Crew 6 - Onshore Contact Name
Crew 6 - Onshore Contact No
Crew 7 - Name
Crew 7 - ASNumber
Crew 7 - Days sailing?
Sunday
Monday
Tuesday
Thursday
Friday
Crew 7 - Onshore Contact
Crew 7 - Onshore Contact No
Crew 8 - Name
Crew 8 - ASNumber
Crew 8 - Days sailing?
Sunday
Monday
Tuesday
Thursday
Friday
Crew 8 - Onshore Contact
Crew 8 - Onshore Contact No
List total number on board each day (Example: Sunday - 5)*
Max. 255 characters
Additional Information
Max. 255 characters
Any crew with a medical condition?
Please select...
Yes
No
List crew name, medical conditions & procedures to be taken
Max. 255 characters
I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*
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