Skipper Details
Name
*
First Name
Last Name
Which club are you from?
*
Phone Number
*
Please enter a valid mobile phone number.
Email
*
example@example.com
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid mobile phone number.
Gender
*
Male
Female
Are you a WAGFA Member?
*
Yes
No
Shirt Size (Unisex)
*
XS
S
M
L
XL
XXL
XXXL
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Boat Details
Boat Name
*
DoT Boat Registration
*
Select appropriate size of your boat
*
Less than 8.5m
Greater than 8.5m
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Crew Details
Name
*
First Name
Last Name
Please select age category
*
Senior (Over 16 years)
Junior (under 16 years)
Select Junior category
*
Small Fry (Under 11 years)
Junior (Over 11 years)
Gender
*
Male
Female
Are you a WAGFA Member?
*
Yes
No
Shirt Size (Unisex)
XS
S
M
L
XL
XXL
XXXL
Kids Shirt Size (Unisex)
6
7
8
9
10
11
12
13
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Crew #2 Details
Name
First Name
Last Name
Please select age category
Senior (Over 16 years)
Junior (Under 16 years
Select Junior category
Small Fry (Under 11 years)
Junior (Over 11 years)
Gender
Male
Female
Are you a WAGFA Member?
Yes
No
Shirt Size (Unisex)
XS
S
M
L
XL
XXL
XXXL
Kids Shirt Size (Unisex)
6
7
8
9
10
11
12
13
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Next
Crew #3 Details
Name
First Name
Last Name
Please select age category
Senior (Over 16 years)
Junior (Under 16 years)
Select Junior category
Small Fry (Under 11 years)
Junior (Over 11 years)
Gender
Male
Female
Are you a WAGFA Member?
Yes
No
Shirt Size (Unisex)
XS
S
M
L
XL
XXL
XXXL
Kids Shirt Size (Unisex)
6
7
8
9
10
11
12
13
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Next
Crew #4 Details
Name
First Name
Last Name
Please select age category
Senior (Over 16 years)
Junior (Under 16 years)
Select Junior category
Small Fry (Under 11 years)
Junior (Over 11 years)
Gender
Male
Female
Are you a WAGFA Member?
Yes
No
Shirt Size (Unisex)
XS
S
M
L
XL
XXL
XXXL
Kids Shirt Size (Unisex)
6
7
8
9
10
11
12
13
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Next
Crew #5 Details
Name
First Name
Last Name
Please select age category
Senior (over 16 years)
Junior (16 years and under)
Select Junior category
Small Fry (Under 11 years)
Junior (Over 11 years)
Gender
Male
Female
Are you a WAGFA Member?
Yes
No
Shirt Size (Unisex)
XS
S
M
L
XL
XXL
XXXL
Kids Shirt Size (Unisex)
6
7
8
9
10
11
12
13
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Next
Crew #6 Details
Name
First Name
Last Name
Please select age category
Senior (over 16 years)
Junior (under 16 years)
Select Junior category
Small Fry (Under 11 years)
Junior (Over 11 years)
Gender
Male
Female
Are you a WAGFA Member?
Yes
No
Shirt Size (Unisex)
XS
S
M
L
XL
XXL
XXXL
Kids Shirt Size (Unisex)
6
7
8
9
10
11
12
13
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Next
Online Payment
Alternatively, contact FSC Reception (Ph: 9435 8800) with your credit card details ready.
Make you payment selections below
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( X )
Adult Angler Early Bird
$
132.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
AUD
Junior Angler (11 to 16 years)
$
Free
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
AUD
Small Fry (under 11 years)
$
Free
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
AUD
Adult Angler
$
187.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
AUD
WAGFA Non-Member Fee
$
25.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
AUD
Product Name TEST
$
1.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: