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4749 South Washington Ave, Titusville, FL 32780
(321) 383-0280
dockmaster@kennedypointmarina.com
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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
Customer Portal
Vessel Update/Replacement Form
First Name
*
Last Name
*
Primary Phone Number
*
Email Address
*
Vessel Name
*
If your vessel is unnamed, enter "NO NAME".
Hailing Port
Hull Color
*
Hull Color
Beige
Black
Blue
Brown
Burgundy
Camouflage
Copper
Gold
Gray
Green
Maroon
Multi-colored
Orange
Other
Pink
Purple
Red
Silver
Tan
Teal
White
Yellow
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".
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Picture of the Vessel
A picture is not required, but recommended for identification purposes by our staff.
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Vessel Type
*
Please choose the option that most accurately represents your vessel’s primary design and usage.
Vessel Type
CAT (Catamaran)
CB (Cabin Boat)
CC (Cuddy Cabin)
COM (Commercial/Workboat)
CS (Center Console)
FBS (Flybridge Sportfish)
HB (House Boat)
MS (Motor Sail)
OF (Open Fisherman)
PON (Pontoon)
ROW (Rowboat/Skiff)
SB (Sailboat)
SKI (Skiboat)
SPF (Sportfish)
TR (Trawler)
TRI (Tri-Hull)
OTH (Other)
Hull Type
*
Please select the hull material that best describes your vessel’s construction:
Hull Type
A (Aluminum)
F (Fiberglass)
C (Concrete)
S (Steel)
W (Wood)
OTH (Other)
Engine Configuration
*
Engine Configuration
2ID (Twin Inboard Diesel)
2IG (Twin Inboard Gas)
2IO (Twin Inboard/Outboard)
2O (Twin Outboard)
ID (Single Diesel)
IG (Single Gas)
IO (Single Gas Inboard/Outboard)
O (Single Outboard)
E (Electric)
OTH (Other)
Sails
If your vessel is equipped with sails, check which type:
M (SINGLE MAST)
2M (TWO MASTS)
Vessel Accessories
B (Bimini Top)
BP (Bow Pulpit)
DAV (Dinghy Davit)
DP (Dive Platform)
T (T-Top)
TT (Tuna Tower)
Power Requirements
*
None
Single 30 AMP
Single 50 AMP
Dual 30 AMP
Dual 50 AMP
Vessel Registration
*
State Registered Vessel
USCG Documented Vessel
Foreign Flag/Registered
State Vessel Registration Information
State of Registration
*
State of Registration
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State Registration Number
*
State Expiration Date
*
Upload State Registration - Digital Copy
*
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USCG Documentation Information
Official Number
*
Certificate Expiration Date
*
Upload Certficate of Documentation - Digital Copy
*
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Foreign Flag Registration or Ownership Information
Vessel Foreign Origin Country
*
Vessel Foreign Origin Country
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Foreign Registration or Title Number (if any)
Expiration Date (if any)
Upload Foreign Registration Documents - Digital Copy
*
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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.
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