Boat Register Application

QUEENSCLIFF CRUISING YACHT CLUB

Boat Register Application Form

Please complete this form online and then click 'Submit'. There is no need to print it out.
Name *

First Name Last Name
Email address *
example@example.com
Type of vessel *

Yacht Catamaran Motor boat
Vessel is named *
Registration number *
If no registration number, enter sail number
Make and model *
Rig *
LoA *
Metres
LWL
Metres
Beam *
Metres
Draft *
Metres
Number of berths *
Fuel type *

Diesel Petrol
Insurance company *
Policy no *
Expiry date *
Do you wish to place this boat on the Boat Register *

Yes No
Have you previously had a boat on the QCYC Boat Register *

Yes No
When did you last have a boat on the register? *
Is this boat owned jointly (other than with your partner or spouse)? *

Yes No
Please enter names of all joint owners. Note that all joint owners of the boat must be members of the Club. One joint owner must be nominated as the 'nominated owner (see below). *
Nominated owner *
Should be Empty:

QUEENSCLIFF CRUISING YACHT CLUB