Unit Number:________ Council Name: _________________________________

Boat Name:__________________________________________________________
Boat Make/Model/Manufacturer/or Style: _____________________________
       Include the year built if known

State Registration Number and/or Hull Number:_______________________
       Serial numbers do not take the place of this information.

Length: _______ Measure the uppermost continuous deck between the 
     inside of the stern post to the inside of the stem post (USCG 
     specifications)

Kind of Propulsion: ___ Gas/diesel powered ___ Sailboat 
     ___ Power supplemented sailboat
Over 50' classification, indicate where the boat is docked (name of 
pier and city):__________________________________
CHECK:
___ 1. In compliance with an annual USCG Auxiliary Courtesy Marine 
     Examination and "Seal of Safety" decal displayed on boat.

___ 2. In compliance with minimum and maximum number of persons 
     carried aboard (See Guidelines on Back).

___ 3. Have determined which additional equipment is appropriate for 
     this boat as outlined on page 33 of the USCG publication 
     titled Federal Requirements and Safety Tips for Recreational 
     Boats and/or other items as described on page 5-83, 
     under Boating Safety in the Sea Scout Manual, 
     No. 33239A. USCG Boating Safety Hotline is 800-368-5647 for 
     literature and questions.

___ 4. Vessels over 30' in compliance with a "Condition Survey" every
      four years by a recognized or certified Marine Surveyor. 
     Date of Survey:__________________ 

___ 5. Adult leader (Name):_______________________________________ 
     operating BSA vessel has completed the basic boating safety course from:
        ________________________________________Date ______________ 
                (Organization/USCG Licensed)

APPROVAL:
Signature:_________________________________ Date:____________________ 
                 (Council Designee)

Signature:_________________________________ Date:____________________ 
        (Adult Boat Operator or Unit Leader)

Use the information contained on the capacity plate attached to the boat, or if capacity plate is missing, use the formula below to determine the maximum number of persons to be carried:

(Length X Width)
15

1- Sailing vessels under 26 feet LOA:
1 Operator
1 Experienced person
1 Other crew member

2- Sailing vessels 26 feet and longer:
1 Operator
1 Experienced person
2 Other crew members

3- Power vessels under 26 feet LOA:
1 Operator
1 Experienced person

4- Power vessels 26 feet and longer:
1 Operator
1 Experienced person
1 Other crew member

5- Power vessels not having engine controls at the steering station shall require at least one additional crew member to provide for engine control.

6- When a vessel is cruising for more than 12 hours of continuous operation, these minimum crew guidelines will be doubled to provide two (2) watches.

7- The actual evaluation for minimum and maximum crew will consider the number of persons carried, the waters being cruised, and the general arrangement, and size of the vessel.