The President TLCC-D (Mickey) - 0422 400 115
The Secretary TLCC Darwin, PO Box 42461 Casuarina NT 0811
This online form is to be completed by the Trip Leader and submitted to the Trip Coordinator as soon as possible (within a week) after the trip is completed. This is a requirement of our affiliation with 4WD NT and for club insurance coverage. A printable version of this form is available here for submission by hardcopy.
Trip Leaders are encouraged to complete and submit this form electronically at the trip finish point.
Trip Participant Details
Vehicle 1 - Trip Leader
Acknowledgement and Declaration by Trip Leader