Mooring Application Form

If you wish to apply for a mooring please complete and submit this form and email a copy of your certificate of insurance to the Secretary

Your data is maintained solely for the purposes of upholding the license agreement and for contacting you in the event of an emergency with your boat.  Licensee/member banking data is maintained only by the processing bank.  A Security List is maintained of members who want to be advised of security lapses in their area.

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Name of Licensee *

First

Last

Address *

Post Code *

Phone Number *

Email *

Please the set

Please select your first choice of mooring locationNo Preference1. Kirby Quay2.Pier Cottage3.Sailing Club Bay4. Sunny Bank5.Brown Howe6.Lake Bank

Please select your second choice of mooring locationNo Preference1. Kirby Quay2.Pier Cottage3.Sailing Club Bay4. Sunny Bank5.Brown Howe6.Lake Bank

Please select your third choice of mooring locationNo Preference1. Kirby Quay2.Pier Cottage3.Sailing Club Bay4. Sunny Bank5.Brown Howe6.Lake Bank

Please select your fourth choice of mooring locationNo Preference1. Kirby Quay2.Pier Cottage3.Sailing Club Bay4. Sunny Bank5.Brown Howe6.Lake Bank

Please select your fifth choice of mooring locationNo Preference1. Kirby Quay2.Pier Cottage3.Sailing Club Bay4. Sunny Bank5.Brown Howe6.Lake Bank

Please select your sixth choice of mooring locationNo Preference1. Kirby Quay2.Pier Cottage3.Sailing Club Bay4. Sunny Bank5.Brown Howe6.Lake Bank

Boat Name *

Boat Class *

Boat Length - i.e. the total length of the boat and all its hull fittings including the pulpit and the rudder set at 90 degrees to the transom *

• Less than 20ft
• 20-26 ft

Mooring Number (RST Use)

Are you a Lake Bank member *

• Yes
• No

I confirm that any boat using the Trust’s facilities is insured for third party risks to a minimum value of £2,000,000 and have e-mailed a copy of my certificate of insurance to rst.secretary@rstcharity.uk *

• I confirm

To Coniston Boating Centre and Waterpark: In case of an emergency with my boat, I authorise either facility to take necessary action to make it safe until such time as I can be contacted. I am aware that a charge will be made for this service. *

• I confirm

I confirm that I have read and agree to the Terms and Conditions. *

• I confirm

Submit