I hereby acknowledge that I have read, understood, and agree to be bound by the Privacy Policy and the Form Terms and Conditions set forth below. I further confirm that I have reviewed the Liveaboard License Terms & Conditions in their entirety and agree to comply with all terms, conditions, obligations, and requirements contained therein, contingent upon the issuance of a Liveaboard License by Kennedy Point Marina.
By submitting this form, I hereby authorize Kennedy Point Marina and its authorized agents to verify any and all information provided in this form. This may include, but is not limited to, inquiries into my identity, public records, criminal history, and prior marina interactions 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 license, service, or dockage at Kennedy Point Marina, or the revocation of such privileges if already granted.
Your browser does not support e-Signature field.