Borrowed Boat: Permission to Use

HS/Jr - Borrowed Boat: Permission to Use - Entry Form

Permission to use from boat owner.

Information regarding WLI is available at GBN website in the document entitled "Watercraft Liabilty".

REQUIRED to be completed IF the particpating Boat Captain is using a borrowed boat for a tournament.

Boat Make / Model / Color*
Boat Manufacturer Make & Model. ex: Ranger/520 C/red
Engine Make / Model*
Engine Manufacturer Model. ex: Mercury/250
GDNR Registration number*
Must be valid and active for the current year must begin with State designation

do give my full and complete consent to:*

Borrower -First NameBorrower -Last Name
To use this Boat on the following start Date*

MonthDayYear
Date
and end on the following Date*

MonthDayYear
Date

Borrower residing at the following address:*

Borrower's Street Address

Borrower's Street Address Line 2

Borrower - CityBorrower - State

Borrower - Zip Code
Borrower Email (example@example.com)*
**Email copy OPTION: Enter Email address of individual registering your team. This will copy the individual on this submission containing the SUBMISSION ID which is REQUIRED. (example@example.com)
Borrower Cell Phone #*
Valid Angler cell phone
HS Name*
Enter HS name that boat is being used with

Please select one of the following for WLI (Watercraft Liabilty Insurance).

Only one (1) of the two (2) selections below will apply:

1) The WLI coverage will be provided by the boat owner or person giving the permission to use his/her boat.

OR

2) WLI covergae will be provided by the borrower or person using the boat.
Please select ONE of the following:*

Borrower is covered by Boat owner WLI (Watercraft Liability Insurance)Borrower will provide his/her own WLI (Watercraft Liability Insurance)

Boat Owner - Upload the following: 1) boat policy declaration page showing WLI of $300,000 at minimum with active coverage dates AND 2) a letter from your insurance agent stating that [borrower's name] will have $300,000 WLI while using referenced boat. These files can be pdf or text document or scanned copy of the documents (2 are REQUIRED).*

File or scan copy
Cancelof

Borrower of Boat - provide my own WLI. Upload a WLI copy (must show coverage availability while using the borrowed boat OR a statement from your insurance agent stating you are covered with $300,000 WLI while using the borrowed boat.*

File or scan copy
Cancelof

Boat Owner Signature - GBN reserves the right to contact boat owner at the phone number or email referenced in this form with questions concerning this matter. Please SUBMIT after all info & signatures have been obtained.*

Clear
Please verify the CAPTCHA and SUBMIT*
Should be Empty: