DQSC Club Boat Damage Report
Name
*
First Name
Last Name
Email
*
example@example.com
Phone
*
-
Area Code
Phone Number
Boat Identifier
*
2000 2K
Kayak K1
Laser 13 L1
Optimist O1
Pico P1
Pico P2
Pico P3
Pico P4
Pico P5
Pico P6
Pico P7
Pico P8
RS Feva F1
RS Feva F2
RS Vision V1
RS Vision V2
Topper 1
Tera T1
Wayfarer - Red Herring
Paddle Board 10.5ft
Paddle Board 11ft
Safety Boat Dell Bouy
Safety Boat Alfie
Safety Boat Mary Ross
Safety Boat Bravo Mike
Safety Boat Mango(Carrot)
Pulling Dinghy (Eric P)
Pulling Dinghy (not Eric P)
Not in this list
Please specify the date you noticed the problem
Date
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Problem Description
*
Please itemise each issue individually. Remember someone will look at this to find the reported issue, if you can make it a clear as possible the issue is likely to be corrected quicker
Please verify that you are human
*
Submit
Should be Empty: