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12-29-2013

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IYC Float Plan

Version 1.0

INSTRUCTIONS: Complete this float plan before you go boating. Leave this plan with a reliable person who can be depended upon to notify local authorities, or other rescue organization, should you not return or complete a scheduled check-in as planned. If you change your plans after departing, be sure to notify the person holding your float plan of these changes. ! ! The International Yacht Club does NOT accept float plans!

VESSEL IDENTIFICATION! Boat Name: __________________________________ Date: __________________! Hailing Port: __________________________________________________________! Document /Registration No. __________________ HIN: _______________________! Year & Make: _________________________________________________________! Length: ___________ Type: _______________ Draft: _______ Hull Mat: __________! Color: _______________________________________________________________ ! Other Distinguishing Features: ____________________________________________ !

COMMUNICATION! Radio Call Sign: _______________________________________________________! DSC MMSI No: ________________________________________________________! Radio #1 ___________________ Ch / Freq. Monitored _________________________! Radio #2 ___________________ Ch / Freq. Monitored _________________________! Cell / Satellite No: ______________________________________________________! E-Mail Address: ________________________________________________________!

Maps !

Charts!

NAVIGATION! (Circle all that apply)! Compass! GPS/DGPS!

Radar!

Sounder!

Other: ______________________________________________________________!

PROPULSION! Primary: ___________________ No. Eng: ____________ Fuel Capacity: __________!

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12-29-2013

IYC Float Plan

Version 1.0

Auxiliary: __________________ No. Eng: ____________ Fuel Capacity: __________!

! SAFETY & SURVIVAL! (Circle all that apply)!

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Visual Distress Signals: Electric SOS Light Orange Flag Orange Smoke Red Flares! Audible Distress Signals: Bell Horn / Siren Whistle! Other: Sea Anchor / Drogue EPIRB _____________ Fire Extinguisher! Flashlight / Searchlight Food & Water for ____ days Foul Weather Gear! Life raft / Dinghy Personal Locator Beacon Signal Mirror ___________________!

PERSONS ONBOARD! Operator! Name: ___________________________________________________ Age ___ Gender __! Address: __________________________________________________________________! City: _________________________________________ State: ___ Zip Code: ___________! Vehicle: (Make, Model & Year) ______________________________________________________! Trailer will be parked at: ______________________________________________________! Phone: _______________ Vehicle License # ____________Trailer License # ____________! Other Important Details: ______________________________________________________! Passengers / Crew! 1 Name: _________________________________________________ Age ___ Gender __! Address: __________________________________________________________________! City: _________________________________________ State: ___ Zip Code: ___________! Notes: ____________________________________________________________________! 2 Name: _________________________________________________ Age ___ Gender __! Address: __________________________________________________________________! City: _________________________________________ State: ___ Zip Code: ___________! Notes: ____________________________________________________________________! 3 Name: _________________________________________________ Age ___ Gender __! Address: __________________________________________________________________! City: _________________________________________ State: ___ Zip Code: ___________! Notes: ____________________________________________________________________!

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12-29-2013

IYC Float Plan

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Version 1.0

4 Name: _________________________________________________ Age ___ Gender __! Address: __________________________________________________________________! City: _________________________________________ State: ___ Zip Code: ___________! Notes: ____________________________________________________________________! 5 Name: _________________________________________________ Age ___ Gender __! Address: __________________________________________________________________! City: _________________________________________ State: ___ Zip Code: ___________! Notes: ____________________________________________________________________! Attach a separate listing of passengers and crew members if more than five are onboard!

ITINERARY Date

Time

Location / Waypoint

Check-In Time

Depart Arrive Depart Arrive Depart Arrive Depart Arrive Depart Arrive Depart Arrive Depart Arrive Attach a separate listing of locations / waypoints if more space is needed.

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Iycfloatplan