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:_________________________