4749 South Washington Ave, Titusville, FL 32780
(321) 383-0280
dockmaster@kennedypointmarina.com

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Dockage
Quick Links
Contact & Navigation

Customer Portal

Dockage Intake Form

Let’s Get You Docked!

First, Were You Asked to Complete This Form?

If a Kennedy Point Marina staff member has asked you to fill out this dockage intake form, please proceed below. If not, please reach out and confirm availability before submitting this form. This form is easier to complete on a computer or tablet.

STEP 1

Gather the
Necessary Documents

Before you begin, make sure you have digital copies or a device capable of taking clear photos of your driver’s license, vessel registration, business documents, and active vessel insurance showing at least $300,000 in liability coverage.

STEP 2

Thoroughly Complete
The Form Below

Provide detailed and accurate information about yourself, your vessel, and your intended use of the marina. This includes your full name, contact information, vessel specifications, length overall, type of use (recreational, liveaboard, etc.),

STEP 3

Keep an Eye out for
your Dockage Contract

After you submit the form, a team member may reach out with follow-up questions or clarification before approval. Once everything is in order, you’ll receive your dockage contract digitally for review and signature.

Prefix

First Name *

Last Name *

Does a business own the vessel? *NoYes

Business Name: *Please enter the full legal name of the entity that will be responsible for the dockage contract.

Email Address *

Primary Phone Number *

Primary Phone Number (Type) *Cell PhoneHome PhoneWork Phone

Secondary Phone Number

Secondary Phone Number (Type)Cell PhoneHome PhoneWork Phone

Legal Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Do you have a hired full-time captain for the vessel? *NoYes

Captain's Name *

Captain's Phone Number *

Upload a Copy of Your Photo ID *

No file chosen

Upload Business Organization Document *For business, a copy of entity information, including officers or members.

No file chosen

Vessel Name *If your vessel is unnamed, enter "NO NAME".

Hailing Port

Hull Color *

Length Overall (LOA) *Length Overall (LOA) includes the entire vessel length, bow to stern, including all extensions such as dinghy davits and dive platforms.

Beam *

Draft *

Height

Vessel Make *e.g., Sea Ray, Beneteau, Boston Whaler

Model Name and/or Number *e.g., 280 Sundancer, Oceanis 45

Year Built *Four-digit year, e.g., 2004

Vessel HIN *Please enter your vessel’s Hull Identification Number (HIN). If your vessel was manufactured before 1972 and does not have a HIN, enter “1972” in this field. If your vessel is Foreign, enter "Foreign".0 / 12

Picture of the VesselA picture is not required, but recommended for identification purposes by our staff.

No file chosen

Vessel Type *Please choose the option that most accurately represents your vessel’s primary design and usage.

Hull Type *Please select the hull material that best describes your vessel’s construction:

Engine Configuration *

SailsIf your vessel is equipped with sails, check which type:M (SINGLE MAST)2M (TWO MASTS)

Vessel AccessoriesB (Bimini Top)BP (Bow Pulpit)DAV (Dinghy Davit)DP (Dive Platform)T (T-Top)TT (Tuna Tower)

Power Requirements *NoneSingle 30 AMPSingle 50 AMPDual 30 AMPDual 50 AMP

Vessel Registration *State Registered VesselUSCG Documented VesselForeign Flag/Registered

State Vessel Registration Information

State of Registration *

State Registration Number *

State Expiration Date *

Upload State Registration - Digital Copy *

No file chosen

USCG Documentation Information

Official Number *

Certificate Expiration Date *

Upload Certficate of Documentation - Digital Copy *

No file chosen

Foreign Flag Registration or Ownership Information

Vessel Foreign Origin Country *

Foreign Registration or Title Number (if any)

Expiration Date (if any)

Upload Foreign Registration Documents - Digital Copy *

Drag and Drop (or) Choose Files

Insurance Carrier *Example: Progressive, BoatUS, Geico Marine

Policy Number *Provide the full policy number as it appears on your certificate of insurance.

Policy Expiration Date *Enter the date your current insurance policy expires. Your policy must remain active during the dockage period.

Upload Proof of Insurance *Upload a copy of your Certificate of Insurance or declaration page. This must show the vessel owner’s name, coverage limits, expiration date, and the vessel information.

No file chosen

Are you requesting liveaboard status at Kennedy Point Marina? *Selecting “Yes” indicates you intend to reside on your vessel and are requesting approval for liveaboard status. All liveaboards must be approved by management and are subject to additional fees and requirements.NoYes

What is the total number of persons to liveaboard? *

Liveaboard Person List

First Name *

Last Name *

Birthday *

Relationship to Vessel Owner *

Other *

Authorized Person List

First Name *

Last Name *

Relationship *

Has/Have Permission ToBOARD MY VESSELTAKE MY VESSEL OUT OF THE MARINADISCUSS BILLING AND MY ACCOUNTOTHER

Other *

Questions or Concerns?

Consent & Submit *

Yes, I agree with the privacy policy and the below terms and conditions.

Terms & Conditions:

By submitting this form, I hereby authorize Kennedy Point Marina and its authorized agents to verify any and all information provided in this dockage intake form. This may include, but is not limited to, inquiries into my identity, public records, criminal history, and prior marina tenancy or conduct. This authorization is granted in accordance with all applicable federal and Florida state laws. I understand that any information obtained will be used solely for the purpose of evaluating my eligibility for dockage and/or liveaboard status at Kennedy Point Marina.

I certify that all information I have provided is true and complete to the best of my knowledge. I understand that providing false or misleading information may result in the denial of service or dockage at Kennedy Point Marina, or the revocation of such privileges if already granted.

Save and Finish Later

Dockage Intake Form

Let’s Get You Docked!

STEP 1

Gather the Necessary Documents

STEP 2

Thoroughly Complete The Form Below

STEP 3

Keep an Eye out for your Dockage Contract

Gather the
Necessary Documents

Thoroughly Complete
The Form Below

Keep an Eye out for
your Dockage Contract