Greg D. Perez Sportfishing Derby Float Plan

DESCRIPTION OF BOAT

Boat Name *

Layout

GU Number *

Model *

Engine(s) Type *

Hull Color *

Manufacturer *

Length *

Horsepower *

Quantity Fuel Aboard *

ELECTRONICS/SAFETY EQUIPMENT ABOARD

Layout

VHF Radio *

YES
NO

Depth Finder *

YES
NO

Dinghy *

YES
NO

First Aid Kit *

YES
NO

Life Jackets (How Many) *

GPS *

YES
NO

Radar *

YES
NO

Sound Producing Device (Horn) *

Yes
No

Visual Distress Signals (Flares) *

YES
NO

Fire Extinguisher? *

BOAT DETAILS

Layout

Name of Boat Operator (Captain) *

Name of Boat Owner *

Phone *

ADDITIONAL PERSONS ABOARD

Layout

#1 Name

#2 Name

#3 Name

#4 Name

#5 Name

#1 Age

#2 Age

#3 Age

#4 Age

#5 Age

#1 Phone

#2 Phone

#3 Phone

#4 Phone

#5 Phone

Any medical conditions for the people on board

Any Child Onboard *

YES
NO

DEPARTURE & RETURN

Layout

Departure Date / Time *

Date

Time

Return No Later Than (Date & Time) *

Date

Time

Launched From *

GDP Marina
Agat Marina

Marina Home Port *

Custom Captcha *

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