Float Plan
Departure Date
Departure Location
Destination
Return Date:
Boat's Company
Name:
Contact Phone:
Address:
Swimmer?
Yes
 No
Email Address:   
Persons Aboard:
(Please include Name, Age, Gender, &
Contact Number)
Does anyone on board have
a medical condition, or
special medication needs?
Boat Information
Model:
Boat Make:
Year:
Colors:
 Length:
State of Registry:
VHF Radio:
Bow Numbers:
Yes
 No
Registered Owner:
Number of PFD's
Insurance Carrier:
Boat
 Raft
Any special equipment or
characteristics of the boat?  
Please describe
Are there any problems with the boat?
 Yes
 No
Please describe
Contact Ashore
Name
Address:
Home Phone:
Cell Phone:
Relationship
Online Float Plan
Inland Yacht Club
service in the
interest of Boating
Safety.  This
information is used
to help public safety
personnel locate
you and your boat
should you go
missing.  Inland
Yacht Club will not
sell your information
to ANY other entity
nor permit it to be
used by anyone
else.