Mooring Application

Seasonal boaters please complete this application.

Participant Name

Address

Apartment/Unit

City or Town

Province

Postal Code

Phone Number (Main)

Phone Number (Other)

E-mail Address

Date of Birth

I am a

New Boater

Returning Boater

Boater Requesting Slip Change

Desired Harbour

Meyers Pier

Victoria Park Harbour

Either

Required Start Date

Required End Date

Boat Name

Registration Number

Boat Make

Model of Boat

Vessel Class

Power

Sail

Length

Beam Measurement

Draft Measurement

Hydro Required

15 Amp

30 Amp

30 Amp x 2

50 Amp

N/A

Engine Fuel

Gas

Diesel

N/A

Cooking Fuel

Propane

Alcohol

N/A

Is your vessel insured?

Yes

No

Does your policy include $2,000,000 Liability Coverage?

Yes

No

Are you willing to provide us with a copy of your policy?

Yes

No

Please note: in order to moor a vessel in either Meyers Pier Marina or Victoria Park Harbour we will require a copy of your Insurance Policy. This Policy must include $2,000,000 in Liability Coverage and be valid as of the current date. There are no exceptions to this.

Notes/Comments

Today's Date

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