myBoat Registration I would like to register for the 2022/23 season * 2022/23 Boat Registration Details Please enter details regarding your boat. Boat Name * Club * MH16SC M16SSC DPSS DSC IYC B16 StGSC Brisbane Gosford Port Hunter HKSC Other Club Hull Number * This number will be a 4 digit number starting with ASSA. Skiff Type * 13ft 16ft Sail Number * Enter your sail number Insignia * Image Upload Description Select how you would like to provide your 'insignia' Insignia Image * Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 10MB Upload an image that clearly depicts the insignia on your sail. If it's a company logo, your more than welcome to upload a logo file that matches the logo on your sail. Insignia Description * Please describe the appearance of your insignia Hull Manufacturer Van Munster Dolly ASSA (New Yachts) Other Hull Manufacturer Select manufacturer (if known) Facebook Page If your boat has a Facebook page, please provide a link here. Instagram Page If your boat has a Instagram page, please provide a link here. Insurance All boats must have an insurance policy covering 3rd party up to $10,000,000 Insurance Company * Name of company providing insurance for your boat. Policy Number * Valid Till * Proof of Insurance * Drop a file here or click to upload Choose File Maximum upload size: 20.48MB Owners Details Enter details for the owner of the boat. If there are multiple owners, please select the most responsive / best person to contact regarding the boat. Owners | Name * First Owner | Last Name * Last Owner | Mobile Number * 0423456789 should be +61423456789 Owner | Email * Note: This is the email that the registration confirmation will be sent to. Owner | Address * Owner | Address Number Number Street Name Street Name SUBURB SUBURB STATE STATE POSTCODE POSTCODE Owner | Gender * Male Female Other Owner | Gender Crew Details Enter details for the crew of the boat. These will be changeable for events and regattas, so don't worry if this may change in the future. Helm | Name * First Helm | Last Name * Last Helm | AS Number * Enter your Australian Sailing Number. If you don't know your number, please click "HERE" to find it. Helm | Phone # * 0423456789 should be +61423456789 Helm | Email * Helm | Address Helm | Address Number Number Street Name Street Name SUBURB SUBURB STATE STATE POSTCODE POSTCODE Helm | YOB * Year of Birth Helm | Gender * Male Female Other Helm | Gender Helm | Emergency Contact Name * Helm | Emergency Contact Number * Can be mobile/landline Crew 1 | Name * First Crew 1 | Last Name * Last Crew 1 | AS Number * Enter your Australian Sailing Number. If you don't know your number, please click "HERE" to find it. Crew 1 | Phone # * 0423456789 should be +61423456789 Crew 1 | Email * Crew 1 | Address Crew 1 | Address Number Number Street Name Street Name SUBURB SUBURB STATE STATE POSTCODE POSTCODE Crew 1 | YOB * Year of Birth Crew 1 | Gender * Male Female Other Crew 1 | Gender Crew 1 | Emergency Contact Name * Crew 1| Emergency Contact Number * Can be mobile/landline Crew 2 | Name * First Crew 2 | Last Name * Last Crew 2 | AS Number * Enter your Australian Sailing Number. If you don't know your number, please click "HERE" to find it. Crew 2 | Phone # * 0423456789 should be +61423456789 Crew 2 | Email * Crew 2 | Address Crew 2 | Address Number Number Street Name Street Name SUBURB SUBURB STATE STATE ZIP ZIP Crew 2 | YOB * Year of Birth Crew 2 | Gender * Male Female Other Crew 2 | Gender Crew 2 | Emergency Contact Name * Crew 2 | Emergency Contact Number * Can be mobile/landline Terms & Conditions * I understand that my details and of those entered as crew will be used by 3rd parties for the purpose of disseminate information before, during, and after events. I also understand that I am able to opt-out and unsubscribe from these communications at any time. I confirm that all of the crew entered above are above the age of 18, or have written parental consent for sailing at this event. I confirm that I have 3rd party liability insurance cover of a minimum of $10,000,000 I confirm that I have permission to allow these details to be provided to us so that it can be communicated to the club (as indicated on this form) for your membership details. reCAPTCHA Give us some feedback! How easy was this form to fill out? If you are human, leave this field blank. Submit