BOOKING FORM

Please fill in all the questions on this form to ensure that your booking application is processed quickly

Name:			Email:
Address:			Age:
			Preferred booking dates:
Phone:			From:
Mobile:			To:

Passenger List:
Given to Coastguard in an emergency.
Please specify if any of the passengers are children.

Emergency Contact Person:

Phone:

Boating Experience:

Tutukaka Boat Hire Ltd requires hirers to have relevant boating experience. This section is to help us assess your boating experience. It is essential that you answer accurately to ensure that you are covered by insurance in the event of any claim.

Have you owned or chartered a boat before?

Yes

If yes, give details:

Do you have boating experience?

Yes

If yes, give details (years, type of boat, etc):

Have you ever made a claim on marine insurance?

Yes

If yes, give details:

Are you familiar with the marine collision
avoidance regulations?

Yes

Boat Cost:

Days @ $ 50% Deposit to confirm booking: $ (Cheque or Direct Credit)

Declaration:

I declare that the above information is true and accurate in all respects. I understand that should my previous experience not be considered adequate to skipper this vessel, Tutukaka Boat Hire Ltd reserves the right to cancel my booking and refund my deposit.

I have read and understood the terms and conditions of hire under which Tutukaka Boat Hire Ltd operates and in placing a deposit for a hire booking, I agree to be bound by these terms and conditions.