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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Shirt Size*

Medical Information (any existing life-threatening conditions*

Dietary Requirements*

Vegetarian

Vegan

Dairy Free

Other

NONE

Specify any other special dietary requirements

Qualifications (please tick)

First Aid

Recreational Skippers Ticket

National Powerboat Handling Certificate

Safety Boat Handling Certificate

VHF Radio Licence

Food Safe Qualifications

Days available (please tick)*

1st Jan

2nd Jan

3rd Jan

4th Jan

5th Jan

6th Jan

7th Jan

8th Jan

Event Waiver

I am aware that Mandurah Offshore Fishing and Sailing Club boating events involve strenuous outdoor activities in which I may have had no previous experience and which may demand physical and mental effort in a variety of weather conditions and environments, which may result in physical tiredness.
In case of injury or illness, I authorize Mandurah Offshore Fishing and Sailing Club to obtain any medical attention deemed appropriate, including ambulance or other rescue transport.

I am aware that I shall not be under the influence of alcohol due to consumption prior to or during a period of volunteering and understand that the insurance cover shall become null and void.

I confirm that I have read the above Event Waiver in its entirety.*

I agree to the Event Waiver.*

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Details

Are you attending this event?

Basic details

Additional information

Event Waiver