Berth Application Online Form Please enable JavaScript in your browser to complete this form.Registered Owner's Name: *FirstLastSocial Security #: *Date of BirthDrivers License *Email *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHome PhoneCell PhoneEmergency Contact (Name) *FirstLastEmergency PhonePrevious Address (if less than five years)Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeBank:Branch LocationVessel Insured By:Policy No.:Insurance Agent (Name):Insurance Agent PhoneOwner's Employer NameEmployer PhoneEmployer AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePet(s)? *YesNoPet DescriptionsCurrent or Previous Marina:By signing below, authorizes marina to contact owner/operator of previous mooring location to verify tenancy and payment history.Current Wharfage FeeYacht Club Member?YesNoYacht Club Name?Identify Holders of Mortgage & Other Liens Against VesselNameFirstLastAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHome Phone :Business Phone:Is this vessel owned in a partnership?YesNoName(s): *FirstLastMain PhoneWork Phone:Vessel NameCF or USCG Documentation #:Make:Year:Vessel Information:PowerSailMulti-HullBuilders ModelHull #:Hull Material:Hull Color:Length Overall:(End to end including swim steps, bowsprits, outboard, all overhangs)Beam:Depth:Check if you have the following:Swim StepDavitsBow Pulpit SpritAnchorHolding Tank?Marine Sanitation Device:Disposal Method:Boat Maintenance Information:Power Boats:SingleTwinMotor Position: InboardOutboardFuel Type: GasDieselElectricDinghy Information Length OverallDinghy BeamDinghy Power:Dinghy Color:Dinghhy Information Type:RidgidInflatableDinghy Storage Method:File Upload of Current Vessel Registration or Bill of Sale and Receipt Click or drag files to this area to upload. You can upload up to 4 files. Please upload a copy of the current vessel registration or documentation or a copy of the bill of sale and the receipt showing fees have been paid to the DMV. (File Extensions allowed: .jpg, .pdf, .png)Liability Insurance file Upload Click or drag a file to this area to upload. Evidence of current liability insurance (minimum of $300,000) (File Extensions allowed: .jpg, .pdf, .png)3 Current Photos Upload Click or drag files to this area to upload. You can upload up to 3 files. At least 3 current photos of the vessel. 1 side view, 1 back view, 1 front view. Make sure to include CF # and/or documented name. (File Extensions allowed: .jpg, .pdf, .png)Signature: YesBy clicking yes, you acknowledge that the information on this application is true and correct to the best of my knowledge. I hereby authorize Grand Marina or its agents to verify the above information and obtain a credit report. All applicants must sign above.Date / TimeDateTimeUpload Signature Click or drag a file to this area to upload. For an application to be complete, it must be accompanied by the following: A copy of the current vessel registration or documentation or a copy of the bill of sale and the receipt showing fees have been paid to the DMV. Evidence of current liability insurance (minimum of $300,000) At least 3 current photos of the vessel. 1 side view, 1 back view, 1 front view. Make sure to include CF # and/or documented name. An application Fee of $50.00 is required to hold a slip. The fee will be utilized as follows: - Security Deposit: If the application is approved, the $50 fee will be applied to your deposit • If the application is denied, $25 will be returned If the application is canceled by the applicant, the fee will not be returned. Once your application has been approved, the vessel will still need to be inspected before a license agreement is executed. The first month's rent and an equal amount as a security deposit is due on the date of move-in. A deposit is required for each key. The rental rate is based on overall length: Boat or berth length whichever is greater. Final rental amounts will be determined when the boat arrives and is measured by marina personnel. Vessels are assigned berths that accommodate them with no overhang, except as permitted by Marina staff. If the boat is found to be too large for the slip, the tenant may be required to be relocated to a larger berth. The rental rate is based on boat or berth length, whichever is larger. Final rental amount will be determined when the boat arrives and the overall length is measured by marina personnel. Vessels are assigned berths that accommodate them, with no overhang except as permitted by Marina. Applicants Initials Click or drag a file to this area to upload. Upload your Initials as a JPG or PNGSign-up to our newsletter?Submit