Riverside Yacht Club

2009 WATERWAYS SUMMER SPACE APPLICATION

ONE SIGNED APPLICATION IS REQUIRED FOR EACH VESSEL

DUE DATE June 1, 2009

Please return or mail to RYC, Attn. GLR Capitan

NAME:	MEMBER #:
VESSEL NAME:	VESSEL MAKE:
**STATE REG. Or DOC#:	SAIL NUMBER:
LENGTH:	BEAM:
DRAFT:	2008 LOCATION:
LOCATION NUMBER:	RYC STICKER #:

**As a marina operator, the Club may be required to furnish this number to the state of CT upon request.

IF ANY OF THE ABOVE INFORMATION IS INCORRECT OR BLANK, PLEASE MAKE CORRECTIONS SO WE CAN UPDATE OUR RECORDS.

PARTIALLY FILLED OUT APPLICATIONS WILL NOT BE ACCCEPTED

IS THIS APPLICATION FOR A NEW VESSEL AT RYC? YES_____ NO_____

LOCATION REQUESTED:_____________Parking Lot____________________________

COMMENTS_____________________________________________________________________________________________________________________________________________________________________________________________________________________

AUTHORIZATION: “I request space for the above vessel and understand that once assignments have been posted, I will be billed and that no full or partial refunds will be made unless the space can be reassigned. I agree that RYC shall not be held liable for the safety or condition of my boat and that I am solely responsible for damages caused to neighboring vessels, the marina or other Club property if my vessel breaks loose. I also agree to hold RYC harmless from any liability arising out of my vessel’s presence or use at the club, including its movement or relocation by Club personnel if necessary.”

SIGNATURE__________________________________ DATED____________________

RYC use only: date received