LKWSZ Initial Joining Fee New Member Only $200

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