2026 Variety Bash Crew Form

Is your car/team registered for the 2026 Variety Bash?

Car Number

If this is your first Bash please enter TBA and we will be in touch to allocate you one.

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: 0000 000 000.

Preferred Nickname

This will go on your event lanyard which you'll receive at registration.

Email*

example@example.com

Street Address

Street Number and Name

Suburb

State

Postcode

Is the above address the same as your postal address?

Postal Address

Street Address

CityState / Province

Postal / Zip Code

Date of Birth

Date

Does your car have a theme, if so what is it?

Are you a Car Captain or Crew Member?

Is this your first QLD Variety Bash?

List of all previous Bashes

Number of Bashes (previously completed - not including 2026)

Please note you must do a least half the Bash for it to qualify towards your Bash award totals.

Do you know what vehicle you'll be bringing on the 2026 Variety Bash?

What is the vehicle make?

What is the vehicle model?

What is the vehicle year of make?

What is the vehicle registration plate?

Are you participating in the entire Bash?

If No please specify which days you will attending

Do you have a Blue Card?

Blue Card Number

Blue Card Expiry Date

Date

Shirt Size

Shirt Size (Men)

Shirt Size (Ladies)

Next Of Kin

First NameLast Name

Next of Kin Mobile

Please enter a valid phone number.Format: 0000 000 000.

Next of Kin Alternate

Area CodePhone Number

Do you have a history of any of the following? Please select all that apply.

Please provide details on your medical history for the condition(s) selected above:

Do you have any other Medical Conditions not listed above?

If Yes please provide details of other Medical Conditions

Do you take any prescription or over the counter medication(s)?

If Yes please provide medication name, dosage and frequency details for all medication(s)

Do you have any allergies?

Allergies

Please provide details of other allergies

Do you have special dietary requirements?

Dietary Requirements

Please provide details of other dietary requirements

Do you hold a current driver's licence

Participant Declaration*

I agree that all critical information provided in this form is true and correct at the time of filling in and I understand it is my responsibility to update Variety Queensland with any changes to the above medical information. By submitting this crew form, I am also agreeing to abide by Variety Bash Code of Conduct and Event Rules and Regulations.