Beer Can Regatta Boat & Team Registration Form 2024

Darwin Lions

Beer Can Regatta Inc

PO Box 42099 Casuarina NT 0811

ABN: 95952984767
INDEMINITY DISCLAIMER FORM
2025 Registration 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)
Water Team Event Registration Form
Team Name:

Challenges
Beer Can - Includes Best Beer Can Boat, Adult Boat Challenge, Battle of Mindil.

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

Junior Soft Drink (under 16's) - Best Beer Can Boat, Adult Boat Challenge, Junior Battle of Mindil.

Super Boat (>20000 Can's) - Best Beer Can Boat, Adult Boat Challenge, Battle of Mindil.
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.

Events*

Beercan BoatBeercan Boat Team Registration

$50.00AUD

Novelty BoatNovelty Boat Team Registration

$50.00AUD

Super BoatSuper Boat Team Registration - ( > 20,000 cans)

$50.00AUD

Soft Drink Boat (16 and under)Soft drink Boat (16 and under) Team Registration

$10.00AUD

Total

$0.00AUD

Water Team Event Registration Form