Boat Contract Boat Contract Boat Contract "*" indicates required fields Personal InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Watercraft InformationType of Watercraft* V-Bottom, Flat Bottom, Kayak, etc.Brand of Watercraft* Color* Length* State Issued #* Consent AgreementContract Agreement* I AGREE THAT I WILL MAINTAIN CONTROL OF MY WATERCRAFT AT ALL TIMES WHILE IT IS ON THE ROCK ISLAND CONSERVATION CLUB PROPERTY. I ALSO AGREE THAT THE ROCK ISLAND CONSERVATION CLUB IS NOT RESPONSIBLE FOR MY WATERCRAFT WHILE IT IS LEFT ON THE CLUB GROUNDS AT ANYTIME. BY SIGNING BELOW I CERTIFY THAT I HAVE READ AND RECEIVED A COPY AND AGREE TO FOLLOW THE BOAT RULES FOR THE ROCK ISLAND CONSERVATION CLUB. Signature*Date* MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged.
