Hawkesbury/Neapean Bass Catch Registration

First Name*

Last Name*

Street Address*

Town or Suburb*

State*

Postcode*

Best Contact*

Phone Number

Mobile Number*

Email Address*

Retype Email Address*

Have you fished for Bass before?* Yes No

Have you participated in a Bass Catch previously?* Yes No

Which river system?*

Will you be attending the briefing on the Tuesday night (Northmead Bowling Club) or Friday night (Camp Ground) before hand?*

Will you be camping? Friday Night Saturday Night

Will you be attending either or both of the BBQs?* No 1 BBQ Both BBQs

Car Registration*

Please check to indicate your willingness to pay the $10*

Please check to indicate your willingness to pay the $20*

I am a Financial Member of Bass Sydney?* Yes No

Non Members Waiver: I understand that participation in the Hawkesbury Nepean Bass Catch could include actions or tasks which might be hazardous to myself and others. By ticking the box below, I assume any risk of harm, injury or damage which might occur to myself, or to others by me, due to my participation in the event. I release Bass Sydney Fishing Club Inc. from all liability, costs and damages which might arise from my participation in the above named event or activity.*

Please prove you are human