[Fields marked * are required and must not be left blank.]

Personal Details

First Name(s) *

Surname *

Address *

Your Email *

Telephone No *

Mobile No

Vessel Details

Name of Vessel *

Type/Make of Boat *

Weight of Vessel (kg) *

Length (LOA) (to nearest 0.1m) *

Beam (to nearest 0.1m) *

Draft (to nearest 0.1m) *

Keel Type *
—Please choose an option—LongSingleFinBilgeCatamaranTrimaranCentreboardOther
Keel: Other

Mooring Details

Present Location of Mooring

Preferred Location of Mooring

Insurance Details

Insurance Company *

Policy Number *

Comments/Notes

Declaration: I, the above named applicant, request that Caernarfon Harbour Trust grant me the use of a CHT owned mooring. I agree to be bound by the conditions of berthing on Trust moorings. I also understand that the Trust reserves the right to allocate moorings according to the availability and the general suitability of my vessel for a particular mooring. I confirm that my vessel is seaworthy and that I have a minimum third party insurance policy of not less than £2 Million. The above information is correct to the best of my knowledge, and I undertake to inform the Trust immediately of any changes.
Please tick to confirm acceptance of the above: