| Name: | Date: | ||
| Boat Information | |||
|---|---|---|---|
| Make: | Length: | ||
| Model: | Draft: | ||
| Displacement: | |||
| Mooring Gear | |||
| Please describe the ground tackle that you intend to use: | |||
| I have read and understand the Mooring Guidelines as published in the Club policies. | |||
| Signature: | |||
Return this form to the Rear Commodore:
David Hudson
2198 Story Avenue
Niskayuna, NY 12309-5314