We also require a copy of your current comprehensive policy stating public liability cover or third party cover.
A confirmation will be sent upon receipt of entry.
| Boat Name | _________________________________ |
| Owner Name | _________________________________ |
| Email Address | _________________________________ |
| Postal Address | _________________________________ |
| _________________________________ | |
| Phone Number | _________________________________ |
| Boat Length | _________________________________ |
| Type of Boat | Yacht Power Boat Other Craft |
| First Time Entrant? | yes / no |
The undersigned hereby requests the right to enter the above described Christmas Boat Parade in conjunction with the sponsors. In consideration of being granted to enter such parade, the undersigned hereby assumes all risks incident to such Christmas Boat Parade and agrees that neither the organisers, sponsors or any of the officers, employees or agents of such bodies shall be liable to me for any damage, or injury arising out of, or incident to, said Christmas Boat Parade. For the same consideration the undersigned agrees to save and hold harmless, the aforesaid bodies, their officers, employees and agents from any action or claim for damages arising out of, or incident to, the activities of the undersigned in said parade.
| Boat Owner Name | _________________________________ |
| Boat Owner Signature | _________________________________ |
| Date | _____/_____/2008 |
Flat fee per boat $25 payable by cheque or credit card.
| Card Type | Visa / Master Card |
| Card Owner Name | _________________________________ |
| Card Number | _________________________________ |
| Expiry Date | _____/_____ |
| Card Owner Signature | _________________________________ |
Or make cheque payable to Mooloolaba Marina