Newburyport Yacht Club 300R Merrimac Street Newburyport, MA 01950         (978 ) 463-9911        VHF Channel 71

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Other Summer Forms

Dinghy Registration Form

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First Name:
Last Name:
Primary Boat Name:
Dinghy Type/LOA:
Slip Number:
Dinghy Motor:

Dinghy must be 12’ LOA or less

By signing below, I acknowledge that I have read and agree to comply with the Club Rules & Regulations pertaining to Dinghies & JetSkis (here).

Electronic Signature:
Date:

All fields are required.

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Key FOB Order Form

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First Name:
Last Name:
Slip Number:
ItemsQtyTotal
Key Fobs[field6][field6*15]

All fields are required.

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Parking Pass Form

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1 Step 1
First Name:
Last Name:
Date:
Slip #:
Cell Phone:

Vehicle One

Year/Make/Model/Color:Vehicle One
Plate Number:Vehicle One
Picture of Vehicle Onesnap a pic and upload it with your smartphone, tablet or computer
Click to upload a picture

Vehicle Two

Year/Make/Model/Color:Vehicle Two
Plate Number:Vehicle Two
Picture of Vehicle Twosnap a pic and upload it with your smartphone, tablet or computer
Click to upload a picture

Vehicle Three

Year/Make/Model/Color:Vehicle Three
Plate Number:Vehicle Three
Picture of Vehicle Threesnap a pic and upload it with your smartphone, tablet or computer
Click to upload a picture

By signing below, I agree to the following: 


I will be occupying the above referenced slip this season, and understand that I am entitled to one (and only one) Parking Pass. However, I want the option of parking any one of the vehicles listed below in the Members Only Parking area.


I understand that I am not to loan or give my Parking Pass to another member, or to a renter,guest, or vendor, and that if my Parking Pass is displayed in any vehicle other than a vehicle I’ve listed below, the vehicle may be towed at my expense, and that I will be subject to a $50.00 fine.

Electronic Signature:Enter your full name
Date:Today's Date

*Required Fields.       

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Departure Form

[[[["field31","greater_than","0"]],[["show_fields","field45"]],"and"],[[["field90","equal_to","0"]],[["show_fields","field96"]],"and"],[[["field90","equal_to","0"],["field96","greater_than","1000"]],[["show_fields","field93"]],"and"],[[["field93","less_than","1000"]],[["hide_fields","field55"]],"and"],[[["field90","greater_than","0"]],[["set_value",null,"0",null,"field96"],["show_fields","field93"]],"and"],[[["field93","less_than","1000"]],[["show_fields","field105"],["hide_fields","field55"]],"and"]]
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First Name:
Last Name:
Departure Date:
Return Date:
Boat Name:
Cell Phone:
Slip Number:

The following information is not required, however, it could be useful in the case of an emergency.

General Destination:
0 /
Vehicle Make/Model/Year/Color:Vehicle 1
License Plate Number & State:Vehicle 1
Picture of vehicle 1(optional: take a picture of your vehicle and submit it with this form)
Click to take picture and attach to form

Vehicle Make/Model/Year/Color:Vehicle 2
License Plate Number & State:Vehicle 2
Picture of vehicle 2(optional: take a picture of your vehicle and submit it with this form)
Click to take picture and attach to form

Emergency Contact Information:

First Name:Emergency Contact
Last Name:Emergency Contact
Cell Phone:Emergency Contact

*Required fields.

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