2026 Facility Use Application

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URL

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Member Type*

Choose one of the following

Name*

Email Address*

Cell Phone / Phone*

Business Phone

Member D.O.B.*

MM slash DD slash YYYY

Bond #*

Enter 000 if you do not have a Bond number

First Mate*

Address*

Street Address City State ZIP Code

Select Facilities Options

Select All Facilities Options That Apply:

Primary Vessel

E Dock Facility Vessel - 18' min.

Tender Dock

Secondary Vessel of Primary Slip Holder

Harbor Service Fee

Harbor Service Fee: $85.00

Price:

Locker Fee

Locker: $1,590.00

Locker Fee: $1,590.00

Price:

PRIMARY VESSEL

Boat Name*

Boat Type*

Boat Length*

Beam*

Registration / Doc. #*

Boat Mfgr*

Draft*

E DOCK FACILITY VESSEL

Boat Name*

Boat Type*

Boat Length*

Beam*

Registration / Doc. #*

Boat Mfgr*

Draft*

TENDER DOCK

Boat Name*

Boat Type*

Boat Length*

Beam*

Registration / Doc. #*

Boat Mfgr*

Draft*

SECONDARY VESSEL OF PRIMARY SLIP HOLDER

Boat Name*

Boat Type*

Boat Length*

Beam*

Registration / Doc. #*

Boat Mfgr*

Draft*

Primary Slip Options For All Docks

Assigned Slips: Select All Owning Member Options That Apply:

Owner: $65.00 per foot

Assigned Slips A-1 through A-10 (28' min.)

Assigned Slips B1-B8 (35' min.)

Assigned Slip B9 (28' min.)

Assigned Slips B10-B18 (40' min.)

Assigned Slips C1-C9 (40' min.)

Assigned Slip C10 (30' min.)

Assigned Slip C11-C21 (40' min.)

Assigned Slips D1-D17 (40’ min)

Assigned Slips E1-E7 (18' min.)

Assigned Slips on F (40' min.)

Assigned Slips A-1 through A-10 (28' min.)

Assigned Slips A1 through A10

Price:

per foot (28' minimum charge)

Assigned A1-A10 Vessel Length*

28' minimum charge enter L.O.A. in feet

Please enter a number greater than or equal to 28.

Assigned Slips B1-B8 (35' min.)

Assigned Slips B1 through B8

Price:

per foot (35' minimum charge)

Assigned B1-B10 Vessel Length*

35' minimum charge

Please enter a number greater than or equal to 35.

Assigned Slip B9 (28' min.)

Assigned Slip B9

Price:

per foot (28' boat max, 28' min charge)

Assigned B9 Vessel Length*

28' boat max, 28' min charge (value below MUST be 28) enter L.O.A. in feet

Assigned Slips B10-B18 (40' min.)

Assigned Slips B10-B18

Price:

per foot (40' min charge)

Assigned B10-B18 Vessel Length*

40' min charge enter L.O.A. in feet

Assigned Slips C1-C9 (40' min.)

Assigned Slips C1-C9

Price:

per foot (40' min charge)

Assigned C1-C9 Vessel Length*

40' min charge enter L.O.A. in feet

Assigned Slip C10 (30' min.)

Assigned Slip C10

Price:

per foot (30' boat max, 30' min charge)

Assigned C10 Vessel Length*

30' boat max, 30' min charge (value below MUST be 30) enter L.O.A. in feet

Assigned Slip C11-C21 (40' min.)

Assigned Slips C11-C21

Price:

per foot (40' min charge)

Assigned C11-C21 Vessel Length*

40' min charge L.O.A. in feet

Assigned Slips D1-D17 (40’ min)

Assigned Slips D1-D17

Price:

per foot (40' min charge)

Assigned D1-D17 Vessel Length*

40' min charge enter L.O.A. in feet

Assigned Slip E1-E7 (18' min.)

Assigned Slips E1-E7

Price:

per foot (18' min charge)

Assigned E1-E7 Vessel Length*

18' min charge enter L.O.A. in feet

Assigned Slips F - All Slips (40' min.)

Assigned Slips on F - All Slips

Price:

per foot (40' min charge)

Assigned F Vessel Length*

40' min charge enter L.O.A. in feet

Floater Slips

Floater Slips: Select All Owning Member Options That Apply:

Floater: $67.00 per foot | E Dock Floater: $1328.00 Seasonal

Floater Slips E1-E7

Floater Slips A-D, F (40' min.)

Owning Member E Dock (floater)

Price:

(per season)

Owning Member A-D, F Dock (floater)

Price:

per foot (40' minimum charge, tender included)

Floater A-D, F Vessel Length*

40' minimum charge (tender included) enter L.O.A. in feet

Please enter a number greater than or equal to 40.

Dockage

2nd Vessel Dockage for Primary Slip Holders:

(includes mooring when needed and tender dock)

Add 2nd Vessel Dockage: $1,328.00

2nd Vessel Dockage For Primary Slip Holders

Price:

Moorings

Select Mooring Option If It Applies:

Owner Member Mooring: $1150.00 Seasonal

Associate Member Mooring $2560.00 W/HSP

Owning Member Mooring Seasonal

Price:

Associate Member Mooring Seasonal W/HSP

Price:

Electric Charge: A-D, F Docks

Select Type Of Cord:

30A/125V UL approved cord: $400/season

50A/125V UL approved cord: $500/season

50A/250V UL approved cord: $800/season

30A/125V UL approved cord enter number of cords Quantity

Price: $400.00

Quantity

(per season per cord) enter number of cords (EX: 1 or 2 cords)

50A/125V UL approved cord enter number of cords Quantity

Price: $500.00

Quantity

(per season per cord) enter number of cords (EX: 1 or 2 cords)

50A/250V UL approved cord enter number of cords Quantity

Price: $800.00

Quantity

(per season per cord) enter number of cords (EX: 1 or 2 cords)

Tender Dock

Add Tender

Add Tender: $170 (In Water)

Add Tender: $562 (On-Dock Pull-up)

Tender (In Water)

Price:

Tender (On-Dock Pull-up)

Price:

Seasonal Storage (In-Field)

Seasonal Storage (in Field)

Trailer Storage: $250.00

Boat on Trailer (Owner): $1328.00

Boat on Trailer (Associate): $1500.00

Trailer Storage: $250.00

Price:

Boat on Trailer (Owner): $1328.00

Price:

Boat on Trailer (Associate): $1500.00

Price:

Harbor Services Permit

Harbor Services Permit Fee

Price:

Additional 2nd Vessel Dockage Fee

Price:

Signature

Signed*

Type your full name above to sign this application.

Date*

MM slash DD slash YYYY

Hurricane Release

Member Name*

Vessel Name*

L.O.A.*

Emergency Telephone Number*

Proof of Insurance

Accepted file types: pdf, doc, docx, jpg, png, Max. file size: 50 MB.

In the event the P.I.Y.C. implements the Hurricane Plan, I will remove my vessel from the Club slip or mooring field.*

I Agree

I, having read the foregoing P.I.Y.C. Hurricane Plan, agree to be bound by, and comply with, the terms and conditions of said Plan. I further grant permission to P.I.Y.C. to remove my boat at my expense from its slip if the Hurricane Plan is implemented and I have failed to remove my boat in accordance with the provisions of said Plan.

I further agree to hold harmless P.I.Y.C., its agents, servants or employees, from any damage to my boat or its equipment as a result of the proper and reasonable implementation of the Hurricane Plan.

If any terms of this release in regards to hold-harmless provisions conflict with, or void, any coverage under any insurance policy which may provide storm damage coverage to my boat, then said provision of this release shall be deemed void and unenforceable as to ensure continued insurance coverage of my boat.

The Board of Directors and/or House Committee shall, at their sole discretion, withhold facility privileges from any member who fails to comply with the terms of the P.I.Y.C. Hurricane Plan.

Signed*

Print Name*

Email*

Bond Number

Date Filed*

Month

Day

Year

Date Approved

Month

Day

Year

Total and Payment

Total

Payment Options

Pay By Credit Card

Pay By Check

Print Form & Send Check

Checks are to be made payable to:
Point Independence Yacht Club
P.O. Box 367
Onset, MA 02558

You'll receive an email with the details from this form upon submission, please print this out and send it with your check.

I understand that after I submit this form I need to send a check for the total amount above to the address shown below.*

I agree to send the check and email form.

Credit Card

Card Details

Cardholder Name

Convenience Fee

A 3.9% conveneince fee is added for all credit card purchases.

$0.00

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Contact

info@piyconset.com
508-295-3972
15-17 Independence Lane
Onset, MA 02558
( 41.739473 / 70.6493 )

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