Visiting Yacht Registration Form

Vessel Details

Vessel Name

Registration #

Vessel Type

Yacht Mono

Yacht Multi

Power Mono

Power Multi

Vessel make/model

Length Overall (ft)

Beam (m)

Draft (m)

Date of Arrival

dd/mm/yyyy

Date of Departure (3 night min stay over NYE)

dd/mm/yyyy

Are lithium batteries installed on the vessel?

Please note that this information will not affect your booking and is only used to assist emergency services in the event of fire on the marina.

Yes

Reason for stay

Owner Details

CYCA Member

Yes

Name

Address

Contact #

Phone

Email Address

Insurance Details

I declare the vessel (details above) holds a certificate of currency with:

Insurer

Expiry

dd/mm/yyyy

Policy #

Third Party

Injury

Please attach a copy of your Certificate of Currency

Drop your files here

Send me a copy of my responses

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