LMYC Members, to guarantee a spot, this form must be filled out and submitted by March 15th electronically, or submit a paper form to the manilla envelope marked “Dock Request Forms” at the LMYC clubhouse.

* indicates a required field

 

• Owner Name *
• Phone *
• Email *
• Vessel Name *
• Make *
• Length *
• Beam *
• Draft *
• Insurance Provider *
• Policy Number *
• Proof of Insurance *Please provide a scanned copy or picture of your policy.
• Are you leaving a dinghy on the property? *
  YesNo
• Does the dinghy have a serial number or name?
  YesNo
• Dinghy serial number or name
• Dinghy Identification
  If not identified, how do you identify your dingy (explain).

 

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