MIBC 2017 BOATING APPLICATION

ALL MEMBER-OWNED JET SKIS, BOATS, SAILBOATS, KAYAKS, CANOES, ROWBOATS &/OR WINDSURFERS MUST REGISTER WITH THE CLUB OFFICE TO USE THE CLUB’S MOORAGE FACILITIES, LAUNCH RAMP, DAY DOCK &/OR ADJACENT WATERWAYS.

NAME______PHONE______EMAIL______

Please indicate below all watercraft that will be used at the Club or on adjacent waterways:PLEASE

NOTE: Boat length and width must be accurate. Failure to provide correct information will result in loss of slip for the season.

DESCRIPTION MEDIUM LARGE XL (2 slips avail) up to 18 ft 18 – 23 ft more than 23 – 25 ft(Max)

MANUFACTURER WN HULL # TRAILER LICENSE

Powerboat______

Sailboat______

Jet Ski______

Windsurfer______

Canoe/Kayak______

Rowboat______

Are all watercraft the same as on file from last year? ______

Please list the color and length of any watercraft stored on land. Color______Length______

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MEMBERS WANTING TO MOOR OR STORE WATERCRAFT(S) LISTED ABOVE AT THE CLUB, DURING THE 2016SEASON, PLEASE COMPLETE THE FOLLOWING TO QUALIFY FOR THE MOORAGE ALLOCATION PROGRAM.

PLEASE ALSO PROVIDE ACCURATE LENGTH AND WIDTH INFORMATION.

MEMBERS WHO CO-OWN BOATS MUST REFER TO THE MOORAGE POLICY FOR FURTHER INFORMATION.

Sole Owner? Yes No If no, list co-owner______

Engine Type (I/O; Outboard, or V-Drive):______

Boat Dimensions: Overall Length (include swim step)______OverallWidth______

INSURANCE AND REGISTRATION

Verification of insurance coveragewill only be requiredafter the boating contracts are finalized. Liability coverage required is as follows:

Windsurfer, Kayak, Canoe, Rowboat - $50,000

Boats powered by less than 10hp and Sailboats less than 15 feet - $100,000

Boats powered by 10hp/or more, Jet skis and Sailboats 15 feet or more - $300.000

A COPY OF CURRENT VESSEL REGISTRATION WILL ALSO BE REQUIRED AFTERTHE CONTRACTS ARE FINALIZED.

Application deadline is 5:00pm onFriday, January 31st 2017. You will receive a confirmation by email that your application was received. If you have not received the confirmation within one week of sending your application, please email the office at . The club fax number is 206-275-3535.