Testing – 2023 Canberra GFC Tuna Tournament Entry Form 1Team Details and Entry Fees2Safety Rescue Information3Merchandise4Payment Team CaptainName(Required) First Last Entry category(Required)FemaleMaleJuniorSmall FryClub(Required) Address(Required) Street Address Address Line 2 Suburb State Postcode Email(Required) Enter Email Confirm Email Phone(Required)Team MembersPlease note that Juniors are under 16 years of age and Small Fry under 11 years of age as at the date of the tournament. Anglers must be a financial member of the club they represent at the date of the tournament and must be prepared, if required, to produce evidence of club membership.NameEntry categoryClub Entry costsSenior Anglers Price: Includes Saturday BBQ and presentation sausage sizzle.Number of Senior Anglers(Required)Junior and Small Fry Anglers Price: Includes Saturday BBQ and presentation sausage sizzle. Please note that Juniors are under 16 years of age and Small Fry under 11 years of age as at the date of the tournament.Number of Junior and Small Fry Anglers(Required)Cash Shootout Price: Price is per boat.Do you want to enter your boat into the Cash Shootout?(Required)NoYesAdditional BBQ for Non Anglers Price: Saturday BBQ for non anglers. Price is per person.Number of Non Anglers attending BBQ(Required)Tournament Dinner ***SOLD OUT*** Price: NB: Dinner tickets are limited – first in best dressed.HiddenNumber of people attending Tournament DinnerHiddenPlease advise any dietary requirements Pro Rata Membership for Canberra Game Fishing Club Price: Price is per person. For anglers not belonging to or affiliated with NSWGFA, GFAA or ANSA.Number of Pro Rata Memberships required(Required) Safety Rescue InformationOwner/Skipper must fill out the following informationName of vessel(Required) Registration number(Required) Make(Required) Model(Required) Length(Required) Colour – Hull(Required) Colour – Flybridge(Required) Colour – Deck(Required) Disctinctive features or markings Engine type(s)(Required) Number(Required) HP(Required) Fuel type(Required) Capacity(Required) Range(Required) Cruising speed(Required) Max speed(Required) Other distinguishing features Radios on boardSSB HF radio on board(Required) Yes No SSB HF radio frequencies(Required) 27 MHz radio on board(Required) Yes No 27 MHz radio frequencies(Required) VHF radio on board(Required) Yes No VHF radio frequencies(Required) UHF radio on board(Required) Yes No UHF radio frequencies(Required) E.P.I.R.BAMSA registration number(Required) Expiry date(Required)Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Safety items on board(Required)Items marked ** are compulsory in NSW open waters. Map/chart of area** Compass (magnetic)** Bailing bucket** Emergency rations** Anchor and chain/line** Fresh water** Reflective mirror** First aid kit Compass (hand held) GPS Marine radio** Sea anchor “V” sheet (orange)** Signal air horn/whistle/bell** Depth sounder Distress signal orange (day)** Distress signal Red (night)** Fire extinguisher** Life jackets (1 per person)** Paddle (single engine)** Boat skipper detailsName(Required) First Last Address during tournament(Required) Street Address Address Line 2 Suburb State Postcode Emergency contact(Required) Phone(Required)All mobile numbers on board vessel Please leave mobile phones switched onSatellite phone on board (if available) Tow vehicle registration(Required) Trailer registration(Required) (Required) Moored Garaged Open Insurance detailsName of insurance(Required) Policy number(Required) Renewal date(Required)Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Tournament Shirts $50.00 each<span>Tournament Shirt – </span>S Quantity Price: $ 50.00 Quantity 17 items remaining.<span>Tournament Shirt – </span>M Quantity Price: $ 50.00 Quantity 4 items remaining.<span>Tournament Shirt – </span>L Quantity Price: $ 50.00 Quantity 9 items remaining.<span>Tournament Shirt – </span>XL Quantity Price: $ 50.00 Quantity 31 items remaining.<span>Tournament Shirt – </span>XXL Quantity Price: $ 50.00 Quantity 6 items remaining.<span>Tournament Shirt – </span>XXXL Quantity Price: $ 50.00 Quantity 6 items remaining. Total $ 0.00 Payment method(Required) Direct Deposit Credit/Debit Card BSB: 633-000 Account No: 147 979 751 Please use your boat name as the payment reference.This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes. Credit/Debit Card Details(Required)Card Details Cardholder Name Consent(Required) I agree to the declaration below.We wish to participate in the Annual Canberra GFC Tuna Competition and agree to participate entirely at our own risk. We agree to abide by the rules as set down by Canberra GFC. We are aware that Canberra GFC will not be responsible or liable for any loss or damage to any person, property, personal injury or death howsoever occasioned at any time during the tournament. We have read the entry form conditions. NOTE: Included in entry fee is one ticket into the Lucky Angler Draw at the Saturday night BBQ, must be present to win. Monday night Presentation and Gantry Levy. CANCELLATIONS: Notice in writing is required at least 7 days prior to the tournament. No monies will be refunded at the tournament.EmailThis field is for validation purposes and should be left unchanged.