Beer Can Regatta Boat & Team Registration Form

Darwin Lions

Beer Can Regatta Inc

PO Box 42099 Casuarina NT 0811

ABN: 95952984767
INDEMINITY DISCLAIMER FORM
To Be Signed By All Participating Team Members
Disclaimer: The organisers of the Darwin Lions Clubs Beer Can Regatta do not accept any responsibility whatever for any injury sustained by any participant and every participant is totally responsible for any liability arising out of any negligent act on their part. No insurance has been arranged by the organisers to cover any participant.Paid Crew / Participants (Parent / Guardian signature required if under 18 years of age)
Team Name:
Team Members
Water Team Event Registration Form
Fee: blanks Paid Yes No
Boat Category*
Beer Can - Includes Best Beer Can Boat, Adult Boat Challenge, Open Water Challenge Battle of Mindil.

Novelty - Best Novelty Boat, Adult Boat Challenge, Open Water Challenge, Battle of Mindil.

Soft Drink (Under 17's Team) - Best Soft Drink Can Boat, Soft Drink Boat Challenge, Open Water Challenge, Battle of Mindil.

Soft Drink (Adult Team) - Best Beer Can Boat, Adult Boat Challenge, Open Water Challenge, Battle of Mindil.

Super Boat (>20000 Can's) - Best Beer Can Boat, Adult Boat Challenge, Open Water Challenge Battle of Mindil.
Team Name:
Contact Person

First NameLast Name
Contact Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Disclaimer: The organisers of the Darwin Lions Clubs Beer Can Regatta do not accept any responsibility whatever for any injury sustained by any participant and every participant is totally responsible for any liability arising out of any negligent act on their part. No insurance has been arranged by the organisers to cover any participant.
Should be Empty:

INDEMINITY DISCLAIMER FORM

Water Team Event Registration Form