Online Crockango Bonanza Entry Form – Crockango Angling Club

CROCKANGO CLUB HAS THE RIGHT OF ADMISSION RESERVED

Before we start please make sure that you have a digital ID or Passport in PDF or jpeg format not larger tan 1Mb for all your Team Members, Parents or Guardians scanned on your computer ready to upload.

Team Entry

Team Name: *Team Name goes here

Number of ADULT team members *

Number of JUNIOR Subs *

Main Team Member

First Name *

Surname *

Is the applicant a RAN Member *YesNo

Cell/Tell *

Email Address *

ID Number *

Copy of ID Document *

No file chosen

Please Upload your ID Document in PDF or jpeg no larger than 1Mb here

Apply for a Fishing Permit *1 Year1 MonthNoNo angler or boat will be allowed on the Bonanza without a valid permit

Residential Address *

Postal Address *

Nationality *

Country *

Team Member #2

First Name *

Surname *

Is the applicant a RAN Member *YesNo

Cell/Tell *

Email Address *

ID Number *

Copy of ID Document *

No file chosen

Please Upload your ID Document in PDF or jpeg no larger than 1Mb here

Apply for a Fishing Permit?1 Year1 MonthNoNo angler or boat will be allowed on the Bonanza without a valid permit

Residential Address *

Postal Address *

Nationality *

Country *

Team Member #3

First Name *

Surname *

Is the applicant a RAN Member *YesNo

Cell/Tell *

Email Address *

Id Number *

Copy of ID Document *

No file chosen

Please Upload your ID Document in PDF or jpeg no larger than 1Mb here

Apply for a Fishing Permit? *1 Year1 MonthNoNo angler or boat will be allowed on the Bonanza without a valid permit

Residential Address *

Postal Address *

Nationality *

Country *

Junior Subs

Junior Sub #1

First Name *

Last Name *

Date of Birth *

Day

Month

Year

Apply for a Fishing Permit? *1 Year1 MonthNoNo angler or boat will be allowed on the Bonanza without a valid permit

Birth Certificate or Passport *

No file chosen

Residential Address *

Postal Address *

Nationality *

Country

Who is the Parent/Guardian of the Junior? *Please select the corect option for legal purposes

Parent/Guardian Name *

Parent/Guardian Surname *

Parent/Guardian ID Number *0 / 11

ID Document of Parent/Guardian *

No file chosen

Junior Sub #2

First Name *

Surname *

Date of Birth *

Day

Month

Year

Apply for a Fishing Permit? *1 Year1 MonthNoNo angler or boat will be allowed on the Bonanza without a valid permit

Birth Certificate or Passport *

No file chosen

Residential Address *

Postal Address *

Nationality *

Country *

Who is the Parent/Guardian of the Junior *Please select the corect option for legal purposes

Parent/Guardian Name *

Parent/Guardian Surname *

Parent/Guardian ID Number *0 / 11

Parent/Guardian ID Document *

No file chosen

Boat Permit

Boat Owner *

Apply for a Boat Permit *YesNoNo Boat will be allowed on the Bonanza without a valid permit

Boat Owner *

Boat Operator Name *

Boat Operator Surname *

Name of Boat *

Country of Boat Registration *

Boat Trailer Registration Number *

Residential Address *

Postal Address *

Business Address

City

Country

Have you booked your Camp *YesNo

Camp Site Booking

Please remember to book your campsite even if you have a Long Term Reservation. Click here to open Camp Site Booking in a new Tab.

Have you Submited your Meal Order? *YesNo

Meal Order

CROCKANGO CLUB HAS THE RIGHT OF ADMISSION RESERVED

Team Entry

Junior Subs

Boat Permit

Please remember to book your campsite even if you have a Long Term Reservation. Click here to open Camp Site Booking in a new Tab.

Please remember to Submit your Meal Order. Click here to to open the Meal order in a New Tab.

Herewith I agree to the Entry form Regulations: