Register – Australian Hearse Nationals

Hearse Nationals Registration

Personal Information

Email * This form is collecting email addresses.

First Name *

Last Name *

License Details

Residential Address *

Drivers License State *

Drivers License Number *

Hearse Registration

Vehicle Class * Entrants may enter in two (2) classes at no extra cost.

Best Hearse Pre 1980 Best Hearse Pre 1980 - Still Service Best Hearse Post 1980 Best Imported Hearse People's Choice Award Best Hearse in Show Furthest Distance Travelled

Year, Make and Model of Hearse *

Vehicle Registration Number *

Coach Builder (if known)

Liability Agreement

I understand that the Hearse Owners Club of Australia, Australian Hearse Nationals, Goldfields Gothic Festivals, and all associated organisers and volunteers, are not responsible for any loss, theft, or damages when attending or participating in the event.

I Understand *

After submitting your registration, you will be redirected to PayPal to complete your payment.