$0.00
Spouses Name (optional)Spouses Name or N/A
Street Address *street Address
Suburb *Suburb
Postcode *Postcode
Phone Number *Preferred Contact Number
Email Address (Preferred) *Email Address (Preferred)
Email Address (Secondary) (optional) (optional)
Members RMDL Licence Number *Members RMDL Licence Number
Boat Make/Manufacturer *Boat Make/Manufacturer
Boat Model/Size *Boat Model and size as per registration papers
Boat Registration *Boat Registration as per registration papers.
Boat Rego Expiry 2024/2025 *Boat Rego Expiry 2024/2025
Boat Colour(S) *Colour(s) of Boat. Primary/Secondary
Inboard/Outboard/Sterndrive/Jet *Motor and drive configeration
Insurance Provider *Name of Insurance Provider or Brokerage
Insurance Policy Number *Insurance Policy Number as listed on current insurance certificate of currency
Insurance Policy Expiry 2024/2025 DD/MM/YYYY *Insurance Policy Expiry 2024/2025 DD/MM/YYYY
Insurance Document *Tick this box to certify you have checked that the document uploaded is the current insurance policy for the MEMBERS boat.
Skiers Liability min $5mil listed on Policy *Check this box to certify you have checked and confirmed you insurance policy has the minimum requirement of $5mil waterskiers liability. (Towed watersports etc is acceptable)
Members Name Is Listed *Check this box to certify that the MEMBERS name is listed as the insured party on the insurance policy. (MUST have members name)
Child 1 for WAWA insurance (optional)Child first and last name for WAWA insurance purposes. Optional
Child 2 for WAWA insurance (optional)Child first and last name for WAWA insurance purposes. Optional
Child Name 3 for WAWA purposes (optional)Child first and last name for WAWA insurance purposes. Optional
Child Name 4 for WAWA purposes (optional)Child first and last name for WAWA insurance purposes. Optional
Members Business For advertising (optional)Members Business for Advertising. Optional information
Advertise My Business with club members (optional) YES NO This information will be shared with club members via a contact list that is also optional to join
Share My Basic Information * Yes No Share My Name, Phone, and Boat Make/Model with members in the form of a contact list. Optional
For Life Members Only!!!!
