Emergency Contact Name*

Emergency Contact Name Mobile Number*

Working With Vulnerable People Card (State Equivalent) Please select... Yes No

WWVP card number & expiry date (State Equivalent)

Do You require assistance in obtaining or renewing your WWVP card Please select... Yes No

On Water Volunteering Role* Please select... Yes No

On Water Volunteering Roles Prefered

Off Water Volunteering Role* Please select... Yes No

Off Water Volunteering Roles Prefered

First Aid with CPR

Tas. Recreational Motorboat License

Safety Boat Operator Qualification Aust. Sailing

Race Management Qualifications Aust. Sailing Max 255 characters

Sail Training Qualifications. Aust. Sailing/ RYA/Other Max 255 characters

Shirt Size Female

Shirt Size Male