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Greg D. Perez Sportfishing Derby Float Plan

DESCRIPTION OF BOAT

GU Number

Manufacturer

Model

Boat Name

Length

Engine(s) Type

Horsepower

Hull Color

ELECTRONICS/SAFETY EQUIPMENT ABOARD (Please indicate YES, NO or AMOUNT)

VHF Radio?

YES
NO

GPS?

YES
NO

Depth Finder?

YES
NO

Radar?

YES
NO

Life Jackets (How Many)

Quantity

Dinghy?

YES
NO

Fire Extinguisher?

Quantity

Sound Producing Device (Horn)?

YES
NO

First Aid Kit?

YES
NO

Visual Distress Signals (flares)?

YES
NO

BOAT DETAILS

Name of Boat Owner

First

Last

Telephone Number

Name of Boat Operator (Captain)

First

Last

ADDITIONAL PERSONS ABOARD

#1 Name

First

Last

#1 Age

#1 Phone

#2 Name

First

Last

#2 Age

#2 Phone

#3 Name

First

Last

#3 Age

#3 Phone

#4 Name

First

Last

#4 Age

#4 Phone

#5 Name

First

Last

#5 Age

#5 Phone

Any medical conditions for the people on board?

Any Child Onboard?

YES
NO

DEPARTURE

Date / Time

Date

Time

Return No Later Than (Date & Time)

Date

Time

Launched From?

GDP Marina
Agat Marina

Fuel Aboard

Quantity

Marina Home Port