Apply For Dock Space

Please fill out the form below, and we will be in touch to confirm availability with you. For a printable version of the form, please click here.

Contact Information

Applicant

Spouse/Partner

Mailing Address

phone

alternative phone

Boat Information

Boat Name

Class

Type

Length (Overall) in ft.

Draft in ft.

Please note that a minimum of $1,000,000 public liability and property damage insurance must be in force to occupy a dock space.

Name of Insurance Company

Name of Insurance Agent

Policy Number

Please calculate your rate using the following metrics. Use the boxes for your ease of calculation.

Length over all including pullpits and outboard motors @ $24/ft

Length Charge

Power @ $20

Power Charge

Minus Any Work Vouchers @ $25 ea

Work Voucher Value

TOTAL DUE:

TOTAL DUE

Payment Type

If paying by cheque, please mail to Pugwash Yacht Club, Box 166, Pugwash NS, B0K 1L0

Terms and Conditions

I agree to the terms and conditions set out in the Pugwash Yacht Club Lease and Dockage Agreement