HomeMy Public PortalAboutMooring Waiting List ApplicationTOWN OF BREWSTER, MASSACHUSETTS
NATURAL RESOURCE / SHELLFISH / HARBORMASTER DEPARTMENT
1657 MAIN STREET BREWSTER, MA 02631
PHONE: (508) 896-4546
RBURCH@BREWSTER-MA.GOV
WWW.BREWSTER-MA.GOV
MOORING WAITING LIST APPLICATION
To maintain your name on a mooring waiting list. Please complete the form below and return it
with a check made payable to “Town of Brewster” in the amount of TEN ($10.00) dollars PER
LOCATION. Please send this application to the address above or delivered to the CONSERVATION
OFFICE at 1657 Main St.
Please note that your mooring waiting list renewal form(s) will be mailed to you annually at your
winter mailing address. You may check your status on the waiting list(s) at any time by visiting our
department’s web-page at www.town.brewster-ma.gov
NAME: , ,
(Last name) (First Name) (M.I)
WINTER MAILING ADDRESS:
(Mailing address)
(City) (State) (Zip Code)
LOCAL PHONE NUMBER: ( )
ALTERNATE PHONE NUMBER: ( )
My signature affixed below will attest that I have read, understand, and agree to abide by the bylaws governing Brewster’s
beaches and landings. By signing this application I waive and release any and all rights and claims for personal damages
against the Habormaster and their assistants to myself and others or damage or theft to my vessel.
SIGNED: DATE:
MOORING LOCATION (Please check one. If more than one, please fill out a separate application)
LONG POND WEST LONG POND EAST UPPERMILL POND
OFFICIAL USE ONLY
DATE RECEIVED: / / FEE COLLECTED: $