Leeuwin's First Offer Waitlist

Leeuwin Voyage Form / First Offer
Contact Details

Details of person interested in joining a voyage
Thank you for your interest in our Voyages. Due to high demand, places for our voyages are offered on a first come, first serve basis.

Once you have submitted this form, our Voyage Coordinator will reach out to you to complete the process.

Please feel free to reach out to us if you have any questions or require more information before submitting.

We look forward to welcoming you on board!
Name

First NameLast Name
Contact Email
example@example.com
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current School/University (if applicable)
Parent/Guardian Contact Details

Required if Trainee is under 18 years of age
Name

First NameLast Name
Email
example@example.com
Phone Number
If entering a landline, please add your area codeFormat: 0000-000-000.
Voyage Preferences

Your preferences and information help us plan our voyages.
Every adventure is different!

During the summer we sail south towards Busselton and Albany, in the winter we sail north towards Geraldton.

Select your preferred ports based on where you'd like to sail, and which ports you're able to get to in order to join/depart the vessel. Your preferences help us plan a voyage schedule that serves all the youth in Western Australia.

If there is a specific voyage not listed, please select "Other" and provide the voyage name.
Preferred Voyage Type.

Other
Preferred Ports
Payment / Funding Requirements
Our voyages can cost up to $446 per day, per participant.

We understand this can be a barrier for individuals and families, which is why we are happy to discuss potential funding options to support trainees interested in our voyages.

The Leeuwin Ocean Adventure Foundation is a not-for-profit, and all funds directly support the our operations, the maintenance, and future youth programs.
How do you intend to cover the voyage fare?
Leeuwin Ocean Adventure Foundation can support you in raising money for your voyage fare. Please discuss this with us.
Have you found a sponsor for your fare?
Please name the sponsor you have identified for your fare.
Signature - Trainee
Signature - Parent/Guardian
Signature Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Should be Empty:

Leeuwin Voyage Form / First Offer

Contact Details

Parent/Guardian Contact Details

Voyage Preferences

Payment / Funding Requirements