Washington Yacht Club: Rental Keelboat Check-Out Sheet

1. Name of skipper:_________________ Rating:(Novice / Skipper)

   Home telephone:___________ Business telephone:___________

2. Boat Name/Type:___________________________________________
3. Crew

   Names: Telephone numbers:
   ______________________ _______________________________
   ______________________ _______________________________
   ______________________ _______________________________
   ______________________ _______________________________
   ______________________ _______________________________

4. Trip: Depart from ______________ on (date) _______________
   

   going to ___________________ or ______________________
   Expect to return by (hour/date)_______________________

5. If not returned by ______________ call ___________________

   or ___________________________________________________
   (Who you will call if you can't bring the boat back on time. Not CG, 911 or Harbor Patrol)

6. Name, address, and phone number of person responsible for filing this sheet if the boat departs from elsewhere than the WAC:______________

   ______________________________________________________ ______________________________________________________ ______________________________________________________

   ---

7. Time of return:_______________ date:______________________
8. Damage noted or maintenance needed, yes or no (circle one). (If yes fill out repair form)

(I)(We), the undersigned, in consideration for the privilege of using the facilities of the Washington Yacht Club, hereby release the club, the Associated Students of the University of Washington, and the University of Washington from any responsibility for any injury to myself or my property which may result during my use of those facilities. (I)(We) further agree to hold the club, the ASUW, and the U of W harmless from any claim arising out of my use of those facilities. By my signature, I hereby accept absolute liablility for my equitably proportionate share of the cost of repairs to any property of the club damaged while in my use.

Furthermore,
I verify I CAN SWIM or I WILL WEAR a Coast Guard Approved Life Vest AT ALL TIMES ON A WYC BOAT.

Guest's signature(s): __________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
WYC member (witness): _____________________________ rating:_________

• ___ ___ 2 bilge pumps
• ___ ___ Horn - (mouth and air)
• ___ ___ Coast Guard Approved seat cushion (throwable device)
• ___ ___ Fully charged fire extinguisher
• ___ ___ First aid kit
• ___ ___ 2 anchors with at least 100 feet of line each
• ___ ___ Lead line
• ___ ___ Winch handle(s)
• ___ ___ Tool kit (with standard, needle nose, diagonal cutting, Vise Grip, and channel lock pliers; adjustable and spark plug wrench; large and small, phillips and slotted screwdrivers; electical tape, split rings, cotter pins, clevis pins, replacement fuses, bulbs and spark plugs(2))
• ___ ___ Compass
• ___ ___ Bucket, brush, and handle
• ___ ___ Stove - CLEAN AND OPERATING
• ___ ___ 2 paddles
• ___ ___ 4 fenders
• ___ ___ Mainsail and cover
• ___ ___ Spinnaker pole
• ___ ___ 2 50 foot lock lines (in their bag)
• ___ ___ 2 25+ foot mooring lines
• IN SAIL LOCKER/CANOE HOUSE:
  • ___ ___ CHARGED battery (connect to battery charger on return)
  • ___ ___ Coast Guard approved life perservers (one per person)
  • ___ ___ Jib(s)
  • ___ ___ Spinnaker(s)
  • ___ ___ Spinnaker sheets
  • ___ ___ Bunk cushions (store in Canoe House)
  • ___ ___ Porta-Pottie / Head -- clean and empty. (store in Canoe House)
• BEFORE LEAVING/RETURNING INSURE THAT:
  • ___ ___ Navigation lights work (steaming, sailing, anchor)
  • ___ ___ Bilge is dry
  • ___ ___ Boat is clean (galley, cabin, head, cockpit, deck, topsides, lazarette)
  • ___ ___ Seacocks operate (sink & head closed, cockpit open)
  • ___ ___ Fuel tank with proper fuel (oil / no oil) is secured (return to gas shed)
  • ___ ___ Engine is secured with wire cable.

I certify that I have sighted the above items except as noted below and will be responsible for their proper return.

DATE _______ SIGNATURE _______________________ RATING __________

Note: The person last checking out a boat will be responsible for missing items unless those items are listed below at the time of check out. Contact Quatermaster to replace lost items.__________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________