Ketchikan Alaska

Owner Information

*Name

*Phone

*Mailing Address

*Mailing City

*Mailing State

*Mailing Zip

Physical Address

Physical City

Physical State

Physical Zip

*Emergency Contact

*Emergency Contact Phone

*Email Address

*Driver's License #

*Driver's License State

*Date of Birth (DOB)

Vessel Information

*Boat Name (as displayed)

Emergency SAT Number

ADFG Number (Commercial Boats Only)

State Registration No or Document No

*Length Overall

*Width

Brand/Maker

Year Built

*Vessel Type

Commercial

Sail

Other

Trailer License No

If applicable

*Arrival Date

*Departure Date

*Electric Service Required

Yes

No

Electric Amperage

30 amp

50 amp

Select if electric service is required

Important Information – Please Initial to Acknowledge

You must acknowledge all policies below before submitting.

*I acknowledge: Open Moorage Permits must be pre-paid and are non-refundable and non-transferable.

Yes

*I acknowledge: Docking policy – first come first served open moorage; finger slips are reserved; I must be available to move the boat.

Yes

*I acknowledge: Electricity policy – only use HP-marked meters or Casey Moran meters; daily charge applies if plugged into an HP meter.

Yes

*I acknowledge: Tenders/Skiffs policy – small tenders stowed aboard may be placed in water at no cost; all others subject to fees.

Yes

*I acknowledge: Moorage & Electric Fees – I will inquire at the office regarding rates, rules and check-out time.

Yes

*I acknowledge: Theft/Damage/Injury – The City of Ketchikan is not responsible or liable for any loss, damage, or injury within harbor facilities.

Yes

*Signature

Type your full name to confirm:

I have read the above information and agree to abide by all regulations. I accept full financial responsibility for any and all charges incurred.

Contact Info