Small Boat Check-Out/Check-in Form
Florida Institute of Technology
Revised in September, 2005
To be completed by
requester
Name_______________Cell
Phone #______________E-mail_____________
Department_________________Faculty
Supervisor Name________________
Date & time of
departure____________Date & time of return______________
Place(s) of
destination_________________Approval Signature______________
To be completed by
dockmaster (723-0733)
Check-Out Check-In
Date and time _______________________ ______________________
Boat (name) _______________________ ______________________
Light bar _______________________ ______________________
Life vest (#) _______________________ ______________________
Key _______________________ ______________________
Gas tank _______________________ ______________________
Battery _______________________ ______________________
Paddle _______________________ ______________________
Boat safety kit _______________________ ______________________
Amchor and rope _______________________ ______________________
Comments/Report:
Requester:________________________________________________________
Signature__________________________ Date___________________
Dockmaster:_______________________________________________________
Signature__________________________ Date____________________