QCYC Marina Berth Waiting List Application Form

Currently there are no available berths at QCYC. If you would like to be included on our waiting list, please complete the form below and if a berth becomes availalbe we will contact you.

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Postal Code *

Phone Number *

Email Address *

Vessel Make/Design *

Length of Vessel Overall (including bowsprits, duckboards etc) *

Draft *

Beam *

Do you require a permanent or temporary berth? *

If permanent, when would you be ready to rent a berth? (If ASAP, please put in today's date) * +

If temporary, what dates do you require a berth?

Are you looking to live on the vessel? *

Please upload current colour photo of vessel *

Does your vessel currently hold comprehensive and third party insurance to $10m? *

Is there any additional information you would like to provide?