Sea Scout Boat Donation Form
Please complete all applicable questions.
Donor's Name
*
First Name
Last Name
Donor's Address
*
Street Address
Street Address Line 2
City
Please Select
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
Zip Code
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Boat Year and Manufacturer
*
Estimated Value
*
Length Overall
*
Where is the boat?
*
Location Name (Marina, back yard, etc.)
Address of boat
*
Street Address
Street Address Line 2
City
Please Select
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
Zip Code
Zip Code of boat
*
Street Address
Street Address Line 2
City
Please Select
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
Do you have clear title in hand and in your name?
*
Yes
No
Does the vessel have a professional survey?
*
Yes
No
Has the vessel had a USCG/USPS vessel safety check with in the past 3 years?
*
Yes
No
Types of boat
Please indicate all that apply.
Sail
Day Sailor
Cruiser
Racer
Sloop
Ketch
Schooner
Other
Power
Runabout
Cruiser
Other
Paddle/Other
Kayak
Paddleboard
Other
Trailer included?
*
Yes
No
Engine
Inboard gas
Inboard diesel
Outboard gas
Outboard diesel
None
Propulsion systems
Indicate all that apply
Does the propulsion engine /transmission currently operate?
*
Yes
No
N/A
Horsepower
When was engine last serviced?
Does the propulsion engine battery hold charge/operate starter motor?
*
Yes
No
N/A
If equipped, does auxiliary electrical generator operate?
*
Yes
No
N/A
Approximate date propulsion engine /transmission last operated
MM/YYYY
Are the following systems operational?
Indicate all that apply
Navigation lights
*
All lights working
Some not working
Not installed
Horn
*
Yes
No
VHF Radio
*
Yes
No
Head
*
Yes
No
None
Water
*
Yes
No
None
Refrigerator or Ice chest
*
Yes
No
None
If yes, specify:
Condition
Hull Condition
*
Very Good
Good
Fair
Boat Condition
*
Very Good
Good
Fair
Trailer
Trailer title in hand and in your name?
Yes
No
Trailer Length
Electrical wiring harness
Yes/Operable
No
Condition of tires
Sailing Vessel
Rigging
Original
Replaced
Other
Mainsails
Very Good
Good
Fair
Headsails
Very Good
Good
Fair
Any other comments you wish to add:
Please provide photos of Bow/Stern / interior of cabin and/or exterior
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