OLYMPIA YACHT CLUB
201 Simmons Street
Olympia, Washington 98501
REQUEST FOR MOORAGE
Date: __________________________________
Name:_______________________________________________________ Member No._________________
Address:_________________________________________________________________________________
Phone: Day:________________________ Evening:______________________ Cell:____________________
Vessel Name:_____________________________________________________________________________
Type of Moorage Desired: ( ) Open ( ) Shed ( ) Boathouse ( ) Any Available
Vessel Type: ( ) Power ( ) Sail
Vessel Length — Overall (Include swim step, dingy davits, etc. :____________________________________
Beam of Vessel:__________________________________________ Mast Height;______________________
• lf accepted for membership, I plan to purchase a boat and/or boathouse from member _________________________ and ask permission to occupy slip number________________ which is not occupied by the aforementioned member.
• lf your moorage needs change in any way, please notify the moorage master in writing.
• PLEASE NOTE: The Olympia Yacht Club is a social club. Moorage is a privilege of members that have worked their way to the top of the published moorage list. The waiting list is usually long, so please be patient.
Return this form to:
Olympia Yacht Club c/o Moorage Master
201 North Simmons Street
Olympia, WA 98501
WELCOME ABOARD!
Updated 11/09
OLYMPIA YACHT CLUB
201 Simmons Street
Olympia, Washington 98501
SIGNATURE PAGE
Date: __________________________________
Name:_______________________________________________________ Member No._________________
Address:_________________________________________________________________________________
Phone: Day:________________________ Evening:______________________ Cell:____________________
Vessel Name:_____________________________________________________________________________
Washington State Registration No.: WN________________________________________________________
OR Coast Guard Documentation No. (If applicable) :______________________________________________
Slip Number: __________________Vessel Type: ( ) Power ( ) Sail
Vessel Length:____________________________ Vessel Beam:___________________
Boathouse Length:_________________________ Boathouse Beam: _______________
Liability Insurance
— For all boats regardless of moorage location, and/or any boathouse located in the OYC basin.
Vessel Insurance Company:_____________________________________________________________________
Agent Name: ________________________________________________________________________________
Agent Address: _____________________________________________________Phone: ___________________
Boathouse Insurance Company: _________________________________________________________________
Agent Name: ________________________________________________________________________________
Agent Address: _____________________________________________________Phone: ___________________
I DO HERBY AGREE TO ABIDE BY THE OYC CONSTITUTION AND BYLAWS, RULES AND REGULATIONS, MOORAGE AGREEMENT AND ISLAND HOME RULES AS CURRENTLY PUBLISHED.
Member Signature:_________________________________________________________
Please complete this page and return to OYC Moorage Master. Retain moorage agreement with your records.
Updated 11/O9