Marina Summer Waiting List Application - Portsmouth Olympic Harbour

Request Location

Location *

Would you consider Portsmouth Olympic Harbour if Confederation Basin not available?

Owner Information

Owner's Name *

Address *

City *

Prov/State *

Postal/Zip Code *

Phone # (H) *

Phone # (W) *

Phone # (Fax) *

Phone # (Cell) *

E-mail address *

Boat Information

Boat Name *

Registration # *

Horse Power *

Make *

Type of Boat *

Year

Length Overall (ft.) *

Beam (ft.) *

Draft (ft.) *

Weight (lbs.) *

Shore Power Required

Use of Craft *

Seasonal Pump Out

Insurance Information

Company *

Address *

City *

Prov/State *

Postal/Zip Code *

Phone # *

Policy #

Miscellaneous

Special Requirements

Information collected in this application will be handled in accordance with the Municipal Freedom of Information and Protection of Privacy Act and will be used to allocate Summer Mooring space. NOTE: Any craft used for commercial/business purposes will be subject to a 20% surcharge, over and above the normal seasonal rate.