Swimmer’s details

    Swimmer details
    By typing in your name, we’ll use this as your digital signature.

    Emergency contact details

    Historical swim details
    If no link is available, please provide a Statutory Declaration.

    Boat details

    Skipper details
    By typing in your name, we’ll use this as your digital signature.

    Parent/Guardian details Optional

    Where an Applicant is below the age of 18, a parent or guardian who warrants their authority to act on behalf of the Applicant MUST enter in their details below to indicate acceptance of the above conditions on behalf of the Applicant.

    By typing in your name, we’ll use this as your digital signature.