Welcome to the Fort Pierce Yacht Club and Fort Pierce City Marina July 4th Boat Parade registration page. Please provide your information as requested below. Click on the 'Submit Response' button at the bottom of this page when finished.

Complete all fields below

Question Title

* 1. Enter your contact information below

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 2. How many people will be on your boat?

Question Title

* 3. Please list the names of 4 people (maximum including captain) per boat that will attend the BBQ at Fort Pierce Yacht Club. Space is limited.

Question Title

* 4. What is the name of your boat, if any? If none, put 'none'

Question Title

* 5. What is the type and size of your boat?

Question Title

* 6. Do you have insurance, including liability coverage on your boat, and agree to produce proof upon request?

Question Title

* 7. Do you agree to the terms of the Code of Conduct and Parade Rules as shown below? They will also be available at the Captain's Meeting on July 3rd, 8:00 PM at the Fort Pierce Yacht Club. Your signature will be required.

Question Title

Parade Code of Conduct and Rules

Parade Code of Conduct and Rules