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  • 4749 South Washington Ave, Titusville, FL 32780
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  • Home
  • Dockage
    • Dockage Calculator
    • Liveaboards
    • Frequent Asked Questions
    • New Customer Intake Form
  • Quick Links
    • Rate Sheet
    • Slip License Terms & Conditions
    • Liveaboard License Terms & Conditions
    • Rules & Regulations
    • Customer Forms
      • Update Authorized Person Form
      • New Customer Intake Form
      • Liveabord License Request Form
      • Slip License Termination Form
      • Vessel Update/Replacement Form
  • Contact & Navigation

© 2019

Customer Portal

Liveabord License Request Form


If your vessel is unnamed, enter "NO NAME".

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.

Form 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 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.

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