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| CHARTER BAREBOAT EXPERIENCE & QUALIFICATION FORM
22 Hudson Place Cranston RI 02905
NAME: ADDRESS: CITY: STATE: ZIP: AGE: HOME PHONE: CELL PHONE OFFICE PHONE: EXT:
SPECFIC YACHT AND SIZE INTERESTED IN: MAXIMUM NUMBER OF GUESTS PARTICIPATING IN YOUR CHARTER:
PRELIMINARY ITINERARY / PLANS:
The following inquiries are being made to determine the effectiveness of your knowledge and experience in the operation of a vessel of the type you wish to charter. While we do not expect you to display the knowledge and proficiency of a professional seaman, we are vitally interested in your ability to complete a pleasure-boat voyage in safety and without placing undue risk upon your crew. Please answer each question as completely and informatively as possible. This resume will be attached to and become a part of your charter contract.
1: Are you familiar with the RULES OF NAVIGATION, AND INLAND WATERWAY RULES Yes No
Comments:
2: Are you familiar with the AIDS TO NAVIGATION? Yes No Comments:
3: Are you familiar with the regulations and use of a VHF radio? Yes ___ No ___
4. Are you able to plot navigational courses and then accurately sail those courses in order to reach a destination during periods of limited or restricted visibility? Yes No ___
Comments:
5: Are you able to determine a vessel's position with the use of visual sightings, charts and navigational instruments? Yes No
Comments:
6. Are you able to determine the meaning of another vessel's 1ights? Yes No .
Comments:
7: Are you familiar with the anchoring requirements of a vessel of the size and type you wish to charter? Yes _____ No
Comments:
8: Have you experience in picking up a mooring in a crowded harbor of the size and type yacht you wish to charter?? Yes ____ No
9: Have you experience in the docking and un-docking of a vessel of the type yacht you wish to charter within the confinements of various harbors and marinas? Yes No
Comments:
10: Have you ever been involved in a collision at sea? Yes No
If yes, give details:
11: Have you ever grounded a vessel? Yes No
If yes, give details:
12: Are you familiar with the meteorological aspects of pleasure boating? Yes ___ No
Comments:
13: Have you ever been convicted of DWI (Driving while intoxicated) on land or water? Any marine related violations within the past three years? Yes ____ No
Comments:
14. Are you capable of and have you in the past handled unforeseen and unexpected circumstances relating to mechanical breakdowns, weather conditions and other vessels.
15, Please provide the names of other boaters who could provide a reference for you. Please include their phone numbers and affiliations/relationship. Please include their email address.
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Notes / Comments:
15. Please describe your planned activities and use of the yacht during your charter. Are you planning to overnight on moorings, at anchor, or in slips?:
16: Please write a short paragraph describing your boating activities during the past ten years involving boats of the size and type you wish to charter. Include any instructional programs during your adult boating career, please include these by name, approximate date of attendance and certification number if any.
__________________________________
Name (Print)
Signature: Date:
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