Yacht Requested:

 *

Name:

 *

Occupation:

 *
Home Address: *
City: * State/Province: *
Zip/Postal Code: *  Country: *

Daytime Phone:

 *

Evening Phone:

 *

E-mail Address:

 *

Are you a US Citizen?

 Yes       No*

• If 'No', are any

Crewmembers US Citizens?   Yes      No

• If 'Yes', Name:

  Age:

How many years have

 you been sailing/cruising? *

Do you own or have

 you owned a boat? Yes   No*

• If 'Yes', how many

years? Type of Boat:

Have you previously

 chartered as a skipper? Yes  No*

• If 'Yes', please

complete the following:

Boat Type/Size:

Dates of Charter:

Area Cruised:

Charter Company:

 Phone:

Boat Type/Size:

Dates of Charter:

Area Cruised:

Charter Company:

 Phone:

Boat Type/Size:

Dates of Charter:

Area Cruised:

Charter Company:

 Phone:

Have you ever cruised

 the Florida Keys?

...

 the Bahama Islands?

...

 the Virgin Islands?

...

 the Caribbean?

• If 'Yes', as

captain , or crew ?

Have you ever crossed

 the Gulfstream?

...

 the Bahama Bank?

List all sailing and

 navigational experience - are you familiar with coastal and ocean navigation with the use of charts, compass, parallel rules and the use of onboard electronics?

List any yacht club

 memberships or boating courses completed:

Have you had any

 marine insurance claims in the past
three (3) years?  Yes  No      *

• If 'Yes', explain:

What is your expected

 itinerary for this charter?*

In Case of emergency

 we should notify:*

Name:

Relationship:

Phone:

Please list two personal

 boating references
(other than family and crew members):*

Reference #1:

Address:

Phone:

Reference #2:

Address:

Phone:

Please list all members

 of your charter party:*

1)

2)

3)

4)

5)

6)

7)

8)

NOTE:

 We reserve the right upon boarding to require you to hire a licensed captain to operate the vessel should you not be approved for all aspects of operation and navigation of the vessel.
.
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