Rottnest Convoy Application

ROTTNEST SAFETY CONVOY

8th - 9th NOVEMBER 2025
Participant Registration
DEPARTURE POINT*

HillarysFremantle
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postcode
Mobile Number
Please enter a valid phone number.
Email Address
example@example.com
Total persons onboard
Boat name
Boat Make / Model
Size (in metres)
Radio type
Registration number
Expiry
Engine h/power
Fuel capacity (litres)
Insurance company
Policy number
Expiry
Value
A quiz night is held on the Saturday evening at Hotel Rottnest for all participants of the convoy. This is a fun way to end the day with new friends and win some amazing prizes.

Tickets are $80.00 per person.

Note: children do not require a dinner ticket, their meals can be ordered direct at the bar.
Please advise if you wish to attend the dinner:*

YesNo
If yes, please advise how many tickets you require
Please select your preferred way of payment*

Direct DebitInvoice
DIRECT DEBIT INFORMATION:

Boating Industry Association of WA

BSB: 036 037

Account: 639339

Reference: Include Surname and RSConvoy
INVOICE:

An invoice will be raised and sent to the email address supplied above.
PLEASE INCLUDE A COPY OF YOUR SKIPPERS TICKET WITH YOUR REGISTRATION

Cancelof
Terms and conditions of participation:

The BIAWA advise all participants that in bad weather the event may be cancelled. The BIAWA take no responsibility for loss of monies paid for accommodation and mooring bookings in the case of cancellation.

Whilst all care is taken to ensure participants safety, the BIAWA and escort vessels take no responsibility for personal injury or for an damage incurred by participants of their vessels during the convoy.
Please confirm you have read the above terms and conditions*
Should be Empty:

ROTTNEST SAFETY CONVOY

Participant Registration