Forms

Name:

Date of Birth:

Residential Address:

Mailing Address (if different from above):

Home Phone:

Work:

Mobile:

Email:

Nominated Crew Chief (one person only) or Guardians

Full name:

Nominated Formula Future Driver (Up to 2 allowed)

Full name:

D.O.B:

Full name:

D.O.B:

Crew Member 1:

Crew Member 2:

Crew Member 3:

Crew Member 4:

Class of Boat:

Owner of Boat (Full name):

Boat No.:

Boat name:

If the boat owner is not the licensed driver nominated above, is the boat owner a current financial member of the AFPGP?
Yes
No

If needed, I do consent to my name/photo to be placed on the AFPGP website in the relevant committee/contact areas

I do not consent to my name/photo to be placed on the AFPGP website in the relevant committee/contact areas

Membership fee $250 (Pay securely by Credit Card / Paypal)