QCYC Booking Form

Queenscliff Cruising Yacht Club

Online Booking Form: Please complete this form online and click 'Submit' when finished. There is no need to print the form.
Please note that QCYC has a requirement that all boats on the wharf must have current boat insurance. Proof may be required on arrival.

QCYC also strongly encourages everyone visiting the Club, aged 16 and over, to be fully vaccinated against COVID-19.
Name*

First Name Last Name
Email*
example@example.com
Mobile*
Please enter a valid phone number.
Arrival mode*

BoatCarJoint party in boat and car
Vessel is named*
Vessel type*

YachtMotor boatN/A
Length (m)*
Draft (m)*
Tonnage*
AIS transmitter*

YesNo
Insurance

The club must have details of boat insurance to ensure booking acceptance. If not previously provided, proof of insurance may be requested on arrival at QCYC.
QCYC member*

YesNo
Does the club have a copy of your certificate of currency?*

YesNo
Insurance Company*
Policy number*
Expiry date*

DayMonth Year
Date
$10m public liability cover*

YesNo
Arrival date and time*

DayMonth Year
Date
Hour Minutes AM/PM Option
Anticipated departure date and time*

DayMonth Year
Date
Departure date must be after arrival date
Name of boat skipper or driver of car*
Number of people in booking*
Including helm/crew/guests
Enter names of crew or guests, including the ages of children
By submitting this form I declare that I have checked and am satisfied that all persons named on this form are fully vaccinated, unless under-age or holding a valid exemption.*

YesNo
I agree to notify berthing@qcyc.org.au in the event that there is either a change of dates or a cancellation of my booking.*

YesNo
Booking

Once complete, please click 'Submit' below.

Please note that the Club has the right to ask a boat to leave the wharf if the boat is found to be inadequately insured.

On receipt, the number of people booked to visit QCYC will be checked for the date(s) requested and you will receive an email either approving or declining the booking. If approved, payment must then be made via the TryBooking link on the QCYC website qcyc.org.au
Should be Empty:

Queenscliff Cruising Yacht Club

Insurance