Visitor Reservation Form – Smugglers Cove Boat Club

Visiting Vessel Registration & Waiver

The undersigned agrees that the assigned dock space shall be used at his/her own risk and that Smugglers Cove Boat Club shall not be responsible or liable in any way for the care, protection, loss or damage off whatever kind or nature to the occupying boat, crew, motor, gear equipment or contents however occasioned.

The undersign further agrees not to leave the vessel unattended during this visit for a period greater than eight (8) hours and confirms the Covid 19 questions below.

Visitor Form

Name of Owner / Captain

Your Email

Make of Vessel:

Vessel Name:

LOA:

Beam:

I certify that my vessel insurance is valid and current.

Yes.

No.

Total Crew:

For data collection purposes, what is the vaccination status of the people on the boat?

Partially Vaccinated

Fully Vaccinated

Not Vaccinated

Address:

Home Yacht Club:

Fleet Captain

Fleet Captain Email

City:

Postal/Zip Code:

Last Port:

Cell Phone Number:

Next Port:

Arrival Date:

Arrival Time:

Departure Date:

Departure Time:

COVID SAFETY CHECK

I do not have any symptoms of Covid -19

I am not waiting for any test results of Covid -19

I have not been in contact with anyone that has or is suspected to have Covid -19 in the last 15 days

I have not been out of the country in the last 15 days