ASBC DRIVERS ENTRY FORM

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Competitor Information Pack
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Boat Name* This field is required.
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Boat Owners Name* This field is required.
First Name
Last Name
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Boat Owners Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Boat Owners Phone Number* This field is required.+61 In area code for Australian Mobiles
Area Code
Phone Number
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Boat Owners Email* This field is required.
example@example.com
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Class of Competition* This field is required.
Formula Future
25/550cc Outboard
F1 Outboard
6 Litre Displacement
Unlimited Displacement
105mph Cell & Non Cell
95mph Cell & Non Cell
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Driver's Name* This field is required.
First Name
Last Name
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Drivers Mobile NumberIF DIFFERENT TO THE BOAT OWNER
Area Code
Phone Number
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I blanks * being the owner(s) of the above-mentioned boat do hereby certify that the Specifications of the boats' hull and motor/s are in conformity with the Rules and restrictions of class of the event entere. I/We will comply with the CLUB and APBA RACING and SAFTEY RULES in their entirety. I/We will not take any legal aciton of any Descripiton against any party concerned with the running of the event. I/We declare that the above particulars are to my/our knowledge true and correct
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Owners Declaration* This field is required.Please sign to the best of you ability
Clear
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Drivers Declaration* This field is required.I/We, the undersigned, understand that the race entered is dangerous And acknowledge and accept entirely at my/our own risk, injury or damage to person or property which May be sustained or incurred as a result of or arising out of my/our participation in the said race or event And declare that if applicable I/we use at my/our own risk, a protective cockpit structure (reinforced Cockpit), Deflection Bar(s), Restraining Belt(s), etc.
AgreedDisagree
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Drivers Declaration* This field is required.Please sign to the best of your ability
Clear
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Will you be taking part in Friday Practice* This field is required.
YESNO
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Will You Bring a Transporter* This field is required.
YESNO
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IF YES WHAT ARE THE DIMENSIONS OF TRAILER
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Please Enter the Names of your CrewEach competing boat is given 4 complimentary "competitor" passes. Extra Passes can be purchased for $40.00 each
CREW 1
CREW 2
CREW 3
CREW 4
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Please Upload APBA Form 1* This field is required.FORM 1 Available at https://www.ausapba.com.au/downloadforms.html
Drag and drop files here
Select files to upload
Cancelof
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My Products
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$20
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ORDER SUMMARY
Total costAUD
Senior Nomination
$250.00AUDEdit
Back
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Quantity
Junior Nomination
$80.00AUDEdit
Back
ALREADY PAID BACK IN MAY 2025
$FreeAUDEdit
Back
Competitor Passes
$40.00AUDEdit
Back
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Quantity
Total cost $0.00AUD
Credit Card
First Name
Last Name
Should be Empty: