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Required fields are marked with asterisks (*)

Use of Designated Anchorage Area

PLEASE READ ALL TERMS AND CONDITIONS PRIOR TO COMPLETING THIS FORM.

By checking this box, I certify that I have read, understand and will abide by the terms and conditions for the use of the designated anchorage area in Port Moody.

Agree

Time period requested

Maximum 21 days during a 40-day period.

NOTE: Check-out time is 12:00pm on the departure day.

Check-in Date

Departure Date

OWNER INFORMATION:

First name

Last Name

Street address:

City

Province/State

Country

Postal code

Phone #

Boat Information

Boat Name (Use None if no name)

Licence Number (if applicable)

Make

Hull Colour

Length

Draught

Type

Power

Sail

By checking this box, I certify that my vessel is insured for a minimum $2M Commercial General Liability insurance.

Agree

Collection of information
Personal information is collected by the City of Port Moody pursuant to Section 26 of the British Columbia Freedom of Information and Protection of Privacy Act, R.S.B.C. 1996, c. 165. Questions regarding this collection of information can be directed to the City’s Legislative Services department by email at FOI@portmoody.ca or mail at 100 Newport Drive, Port Moody, B.C. V3H 5C9.