Mooring Rental Application Please complete and submit the Mooring Rental Application online form. Mooring Rental Application This is an application to rent a Mooring owned or managed by the Prince Edward Yacht Club (PEYC). The annual Mooring Permit is paid by the owner and is included in the Rental Fee below. Renter Name * First Last * Last Membership # Category Mooring # Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Phone (Home) * Phone (Mobile) * Phone (Local) Email * Yacht Name * Make * Power or Sail? * Power Sail Hull Colour * LOA * LOA: Total length includes bowsprit and any other items protruding from the bow or stern of the vessel Beam * Draft * Registered Name (if applicable) Or License Dinghy Storage Required? Yes No Dinghy Name/Registration Insurance Information Yacht Insurance Company * Policy Number * Insurance Broker/Agent * Liability Amount * Insurance Form on File Insurance Information Complete Expiry Date * NOTE: YOU MUST HAVE A MINIMUM OF $1,000,000 LIABILITY INSURANCE on your boat. You must submit a copy of your Insurance Declaration Page with this Application if we do not have one on file. Fees If you require dinghy storage in addition to your Mooring Permit, click Dinghy Storage fee. A 13% tax is automatically added to your total. Available to PEYC club members only (Full or Social). Temporary memberships are no longer available. Please contact PEYC and make payment by EMT, credit card, or cheque. Storage Requirement: Seasonal Rental Fee - $356.60 Dinghy Storage Fee - $50.00 TOTAL AMOUNT DUE INCLUDING TAX Agreement By applying to rent the mooring, owned by PEYC, I confirm that I have read and will abide by the Dock & Mooring Policies including the new policies related to Pollution Prevention. With your permission, PEYC will accede to a request from the local PEC MOE and Picton Fire Department for a list of the mooring permit holders' mooring numbers, owner and boat names and contact phone numbers, to help them begin an immediate response should they arrive on the scene to address a marine spill in progress. PEYC encourages this, as a fast response to any spill would help mitigate any possible fines and charges to the boat owner and protect the harbour water. quality. Please check the box signifying your agreement to release your information. Yes, I agree to provide my contact information No, please do not include my contact information ** Maintaining the integrity of the mooring is your responsibility. Your signature is required for insurance purposes and to absolve the Prince Edward Yacht Club of mooring-related damages. Signature Clear Date reCAPTCHA If you are human, leave this field blank. Submit Δ