Cockburn Sea Rescue - Update your details
Please complete this form so that we have accurate records in the event we need to contact/assist you.
YOUR DETAILS
Woodman number
Please leave blank for new applications. For existing members please state your Woodman number eg "502"
Your answer
First name *
Your answer
Surname *
Your answer
Street address *
Your answer
Suburb *
Your answer
Postcode *
Your answer
Home phone
Your answer
Mobile phone *
Your answer
Email address *
Your answer
VESSEL DETAILS
Vessel registration number *
Your answer
Vessel name
Your answer
Length *
Your answer
Make of vessel
Your answer
Construction type *
Hull type *
Hull colour *
Your answer
Superstructure colour
Your answer
Engine make *
Your answer
Horsepower *
Your answer
Engine type *
Fuel capacity (litres) *
Your answer
Type of marine radio *
Usual departure ramp *
Alternative ramps used
Your answer
USUAL TOW VEHICLE DETAILS
Vehicle make
Your answer
Body style
Colour
Your answer
Vehicle registration number
Your answer
Trailer registration number *
Your answer
Number of axles *
Are you a member of Cockburn Power Boats Association? *
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