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Application and Waiver for Commercial Use of

BATTLESHIP NORTH CAROLINA’S 
PIEDMONT NATURAL GAS MARINE TRAIL DOCK

 

 

Battleship North Carolina’s

Piedmont Natural Gas marine trail dock

 

Thank you for your interest in utilizing the Battleship North Carolina’s PNG Marine Trail Dock.  Wilmington Water Tours, LLC has been contracted by the Battleship North Carolina to facilitate the use of the dock.  We look forward towards working with you to coordinate your visit and use of the facility.  Use of the dock will depend on the availability of resource, and space.

If you are interested in the use of the dock feel free to call us and review the required application.  By signing this application, it is your responsibility to understand and agree to the Battleship North Carolina’s policy that:

  • All Coast Guard inspected vessels that use the Piedmont Natural Gas Marine Trail Dock must be operated by a properly licensed mariner and the vessel must have a current Certificate of Inspection issued by the U.S. Coast Guard.
  • An uninspected passenger vessel (UPV) may use the dock if the operator holds a current Coast Guard license to “Operator of Uninspected Passenger Vessels” (OUPV). 
  • All vessels using the dock must maintain current liability insurance of no less than $1,000,000 and list the “USS NORTH CAROLINA Battleship Commission” as an additional insured.  A copy of which must be provided to the Battleship prior to using the dock.

Fees for the use of the dock are agreed upon between the Battleship NC and Wilmington Water Tours.  Landing Fee covers one-time landing before event and one-time pickup at the end of the event.

Inspected Vessel Landing Fee:                  $40

OUPV Landing Fee:                                    $15

Kayak Launch Fee:                                     $5

 

 

First Applicant Name

First Name*

Middle Name

Last Name*

Phone*
First Applicant Date of Birth*
First Applicant Company Name

Company Name

Please Describe your planned use of the Marine Trail Dock, also feel free to call us at (910) 632-4095. *
First Applicant Signature*
Second Applicant Name

First Name*

Middle Name

Last Name*
Second Applicant Date of Birth*
Second Applicant Company Name

Company Name

Please Describe your planned use of the Marine Trail Dock, also feel free to call us at (910) 632-4095. *
Third Applicant Name

First Name*

Middle Name

Last Name*
Third Applicant Date of Birth*
Third Applicant Company Name

Company Name

Please Describe your planned use of the Marine Trail Dock, also feel free to call us at (910) 632-4095. *
Fourth Applicant Name

First Name*

Middle Name

Last Name*
Fourth Applicant Date of Birth*
Fourth Applicant Company Name

Company Name

Please Describe your planned use of the Marine Trail Dock, also feel free to call us at (910) 632-4095. *
Fifth Applicant Name

First Name*

Middle Name

Last Name*
Fifth Applicant Date of Birth*
Fifth Applicant Company Name

Company Name

Please Describe your planned use of the Marine Trail Dock, also feel free to call us at (910) 632-4095. *
Sixth Applicant Name

First Name*

Middle Name

Last Name*
Sixth Applicant Date of Birth*
Sixth Applicant Company Name

Company Name

Please Describe your planned use of the Marine Trail Dock, also feel free to call us at (910) 632-4095. *
Seventh Applicant Name

First Name*

Middle Name

Last Name*
Seventh Applicant Date of Birth*
Seventh Applicant Company Name

Company Name

Please Describe your planned use of the Marine Trail Dock, also feel free to call us at (910) 632-4095. *
Eighth Applicant Name

First Name*

Middle Name

Last Name*
Eighth Applicant Date of Birth*
Eighth Applicant Company Name

Company Name

Please Describe your planned use of the Marine Trail Dock, also feel free to call us at (910) 632-4095. *
Ninth Applicant Name

First Name*

Middle Name

Last Name*
Ninth Applicant Date of Birth*
Ninth Applicant Company Name

Company Name

Please Describe your planned use of the Marine Trail Dock, also feel free to call us at (910) 632-4095. *
Tenth Applicant Name

First Name*

Middle Name

Last Name*
Tenth Applicant Date of Birth*
Tenth Applicant Company Name

Company Name

Please Describe your planned use of the Marine Trail Dock, also feel free to call us at (910) 632-4095. *
Applicant Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Insurance

Insurance Carrier*

Insurance Policy Number*
Schedule for use of dock

Date of Service *

Time of Service *

Approximate Number of Guests *
Vessel Information

Vessel Name *

USCG Official Number *

Boat Type *

Overall Length, Beam and Draft
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Company Name

Company Name

Please Describe your planned use of the Marine Trail Dock, also feel free to call us at (910) 632-4095. *
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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