Car Info: Parking location:__________________________________________________________ Color, make and model:_____________________________________________________ License plate number:______________________________________________________ Trailer license plate number:______________________________________________ Boat Description: Brand:_____________________________________________________________________ Length:____________________________________________________________________ Make:______________________________________________________________________ Color:_____________________________________________________________________ Name:______________________________________________________________________ Boat registration number:__________________________________________________ Home port:_________________________________________________________________ Distinguishing features:___________________________________________________ Engine type and number:____________________________________________________ Radio type and frequencies:________________________________________________ Crew list:_________________________________________________________________ Competency of people aboard:_______________________________________________ Medical problem of any person aboard:______________________________________ Survival equipment aboard:_________________________________________________ PFDs, flares, mirror, smoke signals, EPIRB, flashlights, life raft, dinghy, water, food, other Cell phone number:_________________________________________________________ Voyage information: Departure point:___________________________________________________________ Departure date and time:___________________________________________________ Final destination:_________________________________________________________ Route Information: Waypoint 1:___________________________________________________________________ Date and time:_________________________________________________________ (remember to add at least a few hours to each leg of your trip to allow for inevitable delays) If not arrived, contact name and phone number:_________________________ Waypoint 2:___________________________________________________________________ Date and time:_________________________________________________________ If not arrived, contact name and phone number:_________________________ Waypoint 3:___________________________________________________________________ Date and time:_________________________________________________________ If not arrived, contact name and phone number:_________________________ Waypoint 4:___________________________________________________________________ Date and time:_________________________________________________________ If not arrived, contact name and phone number:_________________________ Waypoint 5:___________________________________________________________________ Date and time:_________________________________________________________ If not arrived, contact name and phone number:_________________________ Waypoint 6:___________________________________________________________________ Date and time:_________________________________________________________ If not arrived, contact name and phone number:_________________________ Waypoint 7:___________________________________________________________________ Date and time:_________________________________________________________ If not arrived, contact name and phone number:_________________________ Waypoint 8:___________________________________________________________________ Date and time:_________________________________________________________ If not arrived, contact name and phone number:_________________________ Waypoint 9:___________________________________________________________________ Date and time:_________________________________________________________ If not arrived, contact name and phone number:_________________________ Waypoint 10:__________________________________________________________________ Date and time:_________________________________________________________ If not arrived, contact name and phone number:_________________________ Return to port:____________________________________________________________ Date and time:_________________________________________________________ If not arrived, contact name and phone number:_________________________