Request to Hire Name(Required) First Last Email(Required) Phone(Required)Requested Date and Time of Boat HireDate From(Required) DD dash MM dash YYYY Date To(Required) DD dash MM dash YYYY Time From(Required) Hours : Minutes AM PM AM/PM Time To(Required) Hours : Minutes AM PM AM/PM How Many AdultsPlease enter a number from 1 to 8.Are You Planning on Taking in the BoatHow Many Children 1-12yrsAre You Planning on Taking in the BoatBoating Experience(Required)Please let us know your level of boating experience and familiarity with the Gold Coast WaterwaysI understand that Fuel useage is calculated and payable at the end of the Boat Hire(Required) YES I understand that The STANDARD insurance excess liability payable due to an insured event whilst on hire is A$2,000.00(Required) YES I'm over 21 and I have a current and valid boat licence(Required) YES Note: Please bring your boat licence on the day as we will attach photo to the on-hire form.License NumberAdditional Information or Requests
