Live On Board Application

Applicant Details

First Name

Last Name

Phone/Mobile

Email

First Name

Surname

Member No.

First Name

Surname

Member No.

First Name

Surname

Member No.

First Name

Surname

Member No.

First Name

Surname

Member No.

First Name

Surname

Member No.

Desired start date?

Boat Details

Boat Name:

Mooring Pen (berth) number:

Date Boat Last Slipped

File Upload - Evidence of last slip

Choose File

Functioning black water holding tank/s installed?

If no, what other black water holding system is in place?

Galvanic Isolator Installed?

File Upload - Galvanic Isolator documentation

Choose File

Terms

Please ensure you have read the Squadron's Live On Board Policy prior to submitting this application. All relevant policies can be viewed online HERE.

All those associated with this application have read and agree to the Live On Board Policy and other policies associated with living on board a vessel at the Derwent Sailing Squadron.

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Live On Board Application

Applicant Details

Boat Details

Terms

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