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____________________