WA’s   Recreational   Skipper’s   Ticket 
       When blank, this form is classed as OFFICIAL, when filled out, this form is classed as OFFICIAL-SENSITIVE.
                   Letter of Consent 
                   If you’re under 18, you must have a letter of consent signed by your parent or legal guardian prior to 
                   assessment.  
                   Pro Forma Letter of Consent 
                   Director General 
                   Department of Transport  
                                            
                   I hereby consent that _______________________________________________________________  
                                                        Family Name                                      Other Names 
                   Who resides at No.  _______ Street  ______________________________Suburb  _______________  
                   May be issued with a Recreational Skipper’s Ticket.  
                   I declare that I am the legal                                           
                                                       ❑ FATHER             ❑ MOTHER           ❑ LEGAL GUARDIAN  
                                                                     (Please tick the appropriate box). 
                                                                                                   
                   of the above-mentioned person.  
                                                                                                             
                   Name: _______________________  Signature: ______________________ Date: _______________