The information below is to help us assess your ability: Please answer completely and honestly. You do not need a Boat Mariners ticket to charter, however a sound knowledge of sailing and safety afloat is essential for at least one member (preferably two) of the charter party. Skippers must be over 25 years of age.

Full name of Skipper

………………………………………………

Address
………………………………………………
………………………………………………
………………………………………………

Home ph no.  ……………………………
Mobile ……………………………………
Birth Date   ………………………………
Business Ph. No…………………………

•Have you ever chartered a boat before?
Yes / No
Length Power Sail Year

Name of Charter Company …………………………

•Due you understand the steering or sailing rules?
Yes / No

•Do you know how to plot a course on a chart?
Yes / No

•Do you understand the IALA buoy age and Beaconage system?
Yes / No

•Have you been involved in a Hull claim previously?
If yes please give full details of vessel type, length type of claim and Insurance Company


•Preferred dates for Charter
•From ……………… AM/PM
•To …………………. AM/PM

•Alternative Dates for Charter
•From …………………..AM/PM
•To   …………………….AM/PM

Passenger List
•List all crew members (including children) full name and age and phone number.
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•
•
•
•
•
•
•
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•Optional Extras Required (GST included).
•Duvets 4 single 2 double $3 / person / day Yes / No


•Total Charter Fees

…Days@$……..…….Rate$………

•Optional Extras $…………

•Total Charter Fee (NZ) $.…………

Declaration:
•I certify that the above information is correct. In understand that should my previous experience not be considered adequate to skipper this vessel Coastal Charters, reserves the right to cancel this charter or provide a professional skipper at my expense. I have read and agree to comply with the terms and conditions of hire - and agree whilst on charter the vessel will not be left unattended under any circumstances. I also agree To Abide By The Law that I as the Master of the Vessel do not consume alcohol whilst on this charter and at all times to have the vessel on a safe anchorage before dusk, and will not at any time and will not at any time drive the vessel during darkness hours unless in a medical emergency or to avoid unpredicted weather changes placing the vessel and passengers at risk.

•I enclose my payment for
NZ$……………………………..(deposit)
•Signature of Charterer……………
•Dated

•Email: info@coastalcharters.co.nz 

•Fax(649) 3090046