Please fill out as much information as possible as accurately as possible.

Yacht Club Name: (Required Input)

Year Club Organized:

Club GPS Coordinate:  Lat:   Long:

adding a harbor     updating a harbor

Submitter Information:

Full Name:

Job Title:

Email:

Phone:

Yacht Club Information:

Yacht Club NAME:

Yacht Club  MAILING Address:

Yacht Club CITY:
California
Yacht Club  ZIP:

Yacht Club PHYSICAL Address: (if different than above mailing address)

Yacht Club  PHONE Number:

Yacht Club  FAX Number:

Yacht Club WEBSITE Address:

Name of BODY OF WATER that the Yacht Club  is located on:

Average Yacht Club harbor depth in feet @ (MLLW)  feet   

Does Club Monitor a VHF marine channel? yes no  Channel(s)

Does Club have Wi-Fi (wireless internet access) yes no

Yacht Club  Facilities Information: (Check all that apply)

Facilities Hours

Clubhouse - OPEN on: M T W T F S S

                                Holidays WeekendsDaily

Galley - OPEN on: M T W T F S S

                          Holidays WeekendsDaily

Galley - OPEN for:  Breakfast  Brunch  Lunch  Dinner

                           Special Events Cruise Ins

Bar - OPEN on: M T W T F S S

                      Holidays WeekendsDaily

Does Club Bar have jukebox music? yes no

Is it a Members ONLY bar? yes no

Membership Ratio: % Sail boaters % Power boaters % Other

Reciprocity  (Check all that apply)

Reciprocal Status Have guest call club for reciprocal information Reservations required

Please detail reciprocal information below:

Guest Docking Information (Check all that apply)

Guest Dock Available  Guest Slips Available  Municipal Docking Moorings

Guest Dock/Slip has electric 

20AMP 20/30 AMP20/50 AMP30 AMP  30/50 AMP Other: AMPS

Guest Dock/Slip has water  Guest Moorings Available

Pump-Out Station (available to Guests)

Fuel Dock available with:

Regular Fuel Regular Plus Fuel Premium Fuel DieselPropane

Parking availability: 

At Club Members Only NearbyWithin Walking Distance More Than 1 Mile away

Public Phone: At Club NearbyWithin Walking Distance More Than 1 Mile away

Restaurant: At Club Within Walking Distance More Than 1 Mile away

Grocery Store: Nearby Within Walking Distance More Than 1 Mile away

Ice At Club Within Walking Distance More Than 1 Mile away

Mini Mart: Nearby Within Walking Distance More Than 1 Mile away

Bait and Tackle: Nearby Within Walking Distance More Than 1 Mile away

Laundromat: At Club Within Walking Distance More Than 1 Mile away

Showers: At Club Within Walking Distance More Than 1 Mile away

Restrooms:  At ClubNearby Within Walking Distance More Than 1 Mile away

Boat Launching Ramp: Nearby Within Walking Distance More Than 1 Mile away

Club Hoist Weight Limit lbs

Hotel: Nearby Within Walking Distance More Than 1 Mile away

At the Club: Pool Spa Exercise Room Tennis Courts

Camp Sites: Nearby Within Walking Distance More Than 1 Mile away

RV Sites: At Club Members Only Within Walking Distance More Than 1 Mile away      w/Full Hook ups

Pets: Pets OK In restricted areas only Member Pets only No Pets

Nearby Services: (Check all that apply)

Small Boat Rentals

Houseboat Rentals

Boat Storage

Boat Repair

Boat Engine Repair

Marine Store

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