Reserve Your Spot - English Landing Marina

Date of Occupancy Requested*

Name

First Last

Please Scan and Upload a Valid Photo ID

Max. file size: 256 MB.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Emergency Contact

First Last

Emergency Contact Phone

Slip Use

(check all that Apply)

Live Aboard

Storage

Commercial

Hull Type*

If you have any pets please upload a photo of them

Max. file size: 256 MB.

Vehicle Description

Please Add photos of your vehicle

(front, side, and back, must include a legible license plate)

Drop files here or

Max. file size: 256 MB.

Boat Description

Please Upload a Photo of your vessel

Max. file size: 256 MB.

Vessel Name

Manufacturer

Year Built

Type

Length

Overall

Beam

Draft

Registration or Documentation #

Construction

Wood

Fiberglass

Steel

Aluminium

Services Required

(Check Any that Apply)

Base Electric

30 AMP Electric

50 AMP Electric

Wifi

Dock Water

Holding Tank

Insurance is required

Licensee must always maintain $300,000 General Marine Liability insurance, including salvage and environmental cleanup, and must name Hydra Holdings Inc, DBA English Landing Marina, as Additional Insured. Our insurance provider requires proof of insurance for every guest, including $300,000 in liability coverage, and naming as "additional insured" both our company and our insurance provider as " additional insured " as follows:

Hydra Holdings Inc, DBA English Landing Marina (509 S. Ponce de Leon Blvd St. Aug., FL 32084)

Please provide proof of insurance before arrival and upon renewal.

Insurance Carrier

Phone

Agents Name

Phone

Previous Marina 1

The dockmaster will contact references to verify the tenant's tenancy history and personal character.

Marina Name*

Contact person's name and title*

Phone*

Email*

Time Frame of Residency*

Previous Marina 2

Marina Name

Contact person's name and title

Phone

Time Frame of Residency

Personal Reference 1

Name*

Relationship*

Phone*

Email*

Personal Reference 2

Name

Relationship

Phone

Employment Reference

Company Name and Supervisor's Name*

Supervisor's Title*

Phone Number*

Email*

Time of Employment*

Authorization

I authorize English Landing Marina to conduct reference checks.

I DO NOT authorize English Landing Marina to conduct reference checks.

Minutes from Historic Downtown, Local Restaurants, and Shopping.

Long Term Slip Application

Vehicle Description

Boat Description

Insurance is required

Please provide proof of insurance before arrival and upon renewal.

Previous Marina 1

The dockmaster will contact references to verify the tenant's tenancy history and personal character.

Previous Marina 2

Personal Reference 1

Personal Reference 2

Employment Reference