WE RESERVE THE RIGHT TO CLOSE REGISTRATIONS SHOULD APPLICATIONS
REACH A LIMIT WHERE WE ARE UNABLE TO REFUND THE ENTRY FEES.
All registrations submitted at this time are assured of the refund.

Name of Boat:
Preferred Email Address:
Confirm Preferred Email Address:
Alternate Email Address if any:
Your Website address:(for public access )	optional
Port of Departure:
List your last 4 ports before arriving in Bundaberg
Approximate Expected Date of Arrival in Port Bundaberg
Total Number on board
Please provide details of all crew members including skipper. If space is not enough, please list extras in message box. .
Full Name:
Preferred Name
Date of Birth dd/mm/yyyy:
Nationality:
Passport Number:
Full Name:
Preferred Name
Date of Birth dd/mm/yyyy:
Nationality:
Passport Number:
Full Name:
Preferred Name
Date of Birth dd/mm/yyyy:
Nationality:
Passport Number:
Full Name:
Preferred Name
Date of Birth dd/mm/yyyy:
Nationality:
Passport Number:
Registration Number of Yacht
Registered Owner of Yacht
Registered Port & Country of Yacht:
Type of Yacht:	Monohull Catamaran Trimaran
Length of Yacht
Color of Hull
How will you report your daily position enroute	HF Radio  Email SMS   None
Are any of the following on board:	PETS:             YES   NO FIREARMS:    YES   NO
Have there been any recent illnesses on board, give details in Message Box :	YES   NO
Please include message if required Include special dietary requirements: