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First name*

Last name*

Car License Plate Number:*

Phone Number *

Email*

Address*

Are you a:*

Premium Member

Local Member

Non-Member

If you are a Non-Member, please nominate a WBC member to sponsor for the duration of your stay.

Arrival date*

Number of nights*

Number of Adults (13 & over)

Number of Children (12 & under)

Site Type:*

Powered site *subject to availability*

Unpowered site

Premium members site *if applicable*

Accomodation Type:*

Camper Trailer

Caravan

Clubvan *subject to availability*

Motorhome

Rooftop Tent

Tent/Swag

Other

Clubvan preference (if required- subject to availability*)

Orange: 2x double beds

Blue: 1x double bed & 2x bunk beds

Additional details WBC should be aware of before accepting your SleepStay request?

I/We have read, understood and agree to be bound by the Code of Conduct, By-laws & Club Rules of the Waranga Boat Club.

Signature

Sign in the box or use the keyboard to type.

Signature field is empty.

SleepStay Request

*SleepStay request to be approved by committee based on information provided below, event type & availability*

The requestee will be notified of the committee decision within 5 days of initial request

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