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Required paperwork for all PWCL Courses

Welcome to your Sunreef BoatSafe course, thanks for signing up to complete your Personal Watercraft License. Below you'll find all of the required information and paperwork for your PWCL Course.

 

First Students Name

First Name*

Last Name*

Phone*
First Students Date of Birth*
First Students Signature*
Second Students Name

First Name*

Last Name*
Second Students Date of Birth*
Second Students Signature*
Third Students Name

First Name*

Last Name*
Third Students Date of Birth*
Third Students Signature*
Fourth Students Name

First Name*

Last Name*
Fourth Students Date of Birth*
Fourth Students Signature*
Fifth Students Name

First Name*

Last Name*
Fifth Students Date of Birth*
Fifth Students Signature*
Sixth Students Name

First Name*

Last Name*
Sixth Students Date of Birth*
Sixth Students Signature*
Seventh Students Name

First Name*

Last Name*
Seventh Students Date of Birth*
Seventh Students Signature*
Eighth Students Name

First Name*

Last Name*
Eighth Students Date of Birth*
Eighth Students Signature*
Ninth Students Name

First Name*

Last Name*
Ninth Students Date of Birth*
Ninth Students Signature*
Tenth Students Name

First Name*

Last Name*
Tenth Students Date of Birth*
Tenth Students Signature*
Students Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Medical Disclosure
Do you have a medical condition or other impairment that may prevent the discharge of my general safety obligation to operate a vessel or personal watercraft safely under the Transport Operations (Marine Safety) Act 1994. I am currently not under the influence of alcohol or legal or illegal drugs, which may affect my ability to drive a vessel safely under the Transport Operations (Road Use Management) Act 1995. I understand that it is an offence under the Transport Operations (Marine Safety) Act 1994 to state in a document that I know will be given to the chief executive, the General Manager or an officer of the Department of Transport and Main Roads information that I know is false or misleading. Maximum penalty 200 penalty units.*
Yes
No
Participants License Details

Drivers License Number *

State of Issue *
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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