Mooring Lines/Cover Removal Agreement

Please use this form to request mooring lines/cover removal. If you have any questions, please email dock@colyc.org.

Upon completion, we will email you.

Name Name First Last
Member Number
Phone Phone - ### - ### ####

Please provide the best contact number in case we have questions about your request(s).
Email
Can/Mooring Location Number
Date of Boat Removal: Date of Boat Removal: / MM / DD YYYY

A confirmation email will be sent once the mooring lines are picked up.
Will you be picking up your mooring equipment?

Will you be picking up your mooring equipment? Yes No

Please Note: Columbia Yacht Club is not responsible for damaged, lost, or stolen mooring equipment. Storage of equipment is a courtesy.
Removal Agreement:

Removal Agreement: I would like to request the dock staff to remove my mooring lines/cover. I agree to pay a $40 fee that will be directly billed to my club account.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.