Dock Space Form

Coon Lake Community & Senior Center 2018 Dock Space Agreement

 

                                                                                                                     DOCK SPACE #(S) ­_____________________

 

                                                                                                                     AMOUNT PAID   ______________________

 

NAME______________________________________________   PHONE ______________________________

 

EMAIL____________________________________________________________________________________

 

COON LAKE ADDRESS________________________________________________________________________

 

RESIDENCE ADDRESS_________________________________________________________________________

 

Agreement with and adherence to the Coon Lake Community & Senior Center, Inc.’s Dock Space Rules and Regulations for 2018 is required. By signing this agreement, you agree to abide by all rules and regulations as stated.

 

The Coon Lake Community and Senior Center hereby grants the above named party(ies) the permission to use the dock space(s) designated above for a period of one year from May 1, 2018 to April 30, 2019.

 

By signing this agreement you are verifying that you have current liability insurance in place to cover any

Claim against your dock and any personal property on your assigned dock space(s) and will not hold

CLC&SC liable for any such claim.

 

THIS AGREEMENT MUST BE RENEWED ANNUALLY TO MAINTAIN YOUR DOCK SPACE PRIVILEGES AND IS NOT TRANSFERABLE.

 

 

 

Signed___________________________________________________           Date__________________________

 

 

PLEASE NOTE:  If Membership Agreement Form and Dock Space Agreement Form are not completed in full, signed and received with payment by May 1, 2018, dock space(s) may be declared open.