Nanaimo Yacht Charters Boating Rental Request and Resume

The information below must be completed in full and returned via email or fax prior to charter reservation

Nanaimo Yacht Charters | Phone (250)754-8601 | Toll Free 1 877.754.8601 | Fax (250) 714-0951

To Email :1) Download this Word format form , 2) Complete the form, 3) rename as YOURLASTNAME.doc
4) send back as an attachment to info@nanaimoyachtcharters.com

To Fax : 1)either PRINT THIS FORM NOW or click icon for the PDF Version , 2) Complete the form
3) Fax to 1 250 714 0951

Charterer:		Phone:
Address:		Cell:
		Email:
		Vessel requested:
		Dates requested:


Skipper: (If different from Charterer):

Have you chartered before? Yes No

Year	Vessel Type & Size	Charter Company	Area cruised	Length of Charter	As Skipper (S) or Crew (C)

Have you owned your own boat: Yes No

Vessel Type & Size	Period owned	Area cruised	# Days/years cruised

List any boating, navigation or related courses completed

Course	Year taken	School name & location

4. Do you understand aids to navigation & rules of the road? Yes No
5. Can you competently anchor in tidal waters? Yes No
6. Can you competently read and use charts? Yes No
7. Can you read and use tide and current tables? Yes No
8. Do you know proper man overboard recovery? Yes No
9. Do you have a vhf radio license? Yes No
10.Are you experienced in reefing and making sail changes? Yes No
11.Have you had any boating accidents? Yes No

Please describe details:

Please describe any additional boating experience, as skipper (vessel type,size & area cruised)

Total # of persons on board for proposed charter (including skipper) : _____________

NB: TOTAL # OF PERSONS MAY NOT EXCEED # OF BERTHS ON CHARTERED VESSEL

Please list details of your crew:

Name	Address	City	Postal Code	Phone #	Age: (If under 19 yrs)

Please provide contact information for a next of kin:

Name:__________________________________________________

Address: _______________________________________________

Phone # ________________________________________________

Describe the boating experience of your crew:

In the eventof an emergency involving the skipper, who would take charge of the vessel?

_________________________________________________________________________________

Briefly outline your proposed itinery for this charter:

This is to certify that I, the Charterer (Skipper), am experienced and competent in all aspects of handling and operating the yacht selected, including practical knowledge of seamanship, piloting, and the Rules of the Road. I agree not to allow the yacht to be operated by any other person not equally qualified, nor to operate the yacht between the hours of sunset and sunrise or during fog. I agree that final acceptance of my competency will be made by the above named charter company during check out, and if the company representative deems a skipper or instructions are necessary, I will engage these services at my own expense.

CHARTERER: ______________________________________________DATE:________________

Nanaimo Yacht Charters | Phone (250)754-8601 | Toll Free 1 877.754.8601 | Fax (250) 714-0951

To Fax :1) PRINT THIS FORM or click icon for the PDF Version 2) Complete the form
3) Fax to 1 250 714 0951

To Email :1) Download this Word format form , 2) Complete the form, 3) rename as Yourlastname.doc
4) and send back as an attachment to info@nanaimoyachtcharters.com