Jetski / PWC User Permit Application "*" indicates required fields Name* First Last Address* Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Phone Number* Primary PWC Make and Model* Prmary PWC Colours or Distinguishing Marks* Data-Tag Number fitted on Primary PWC (e.g. AE-1456)* Data-Tags are mandatory on Jetskis/PWCs in the harbour. To purchase a Data-Tag go to https://www.datatag.co.uk/pwc.phpUpload image of primary PWC*Max. file size: 16 MB.Primary PWC Storage Location and/or regular Launching Point* Do you own any other Jetskis or PWCs?* Yes No If yes above, please list their Data-Tag numbers and descriptions Add RemoveFormal marine training. Select option most appropriate to you* I hold proof of formal marine training (e.g. RYA Powerboat Level 2 or RYA PWC certificate) I do not yet hold proof of formal marine training and will now arrange a training course before collecting my permit Contact the harbour office if you would like to discussUpload certificate of formal marine training*Max. file size: 16 MB.e.g. RYA Powerboat Level 2, RYA PWC Proficiency, RYA Day Skipper etcI understand that anyone using my PWC must have their own permit and that my permit will be withdrawn if others use my PWC without a permit* I agree Will any other permit holders be using your Jetksi/PWC?* Yes No If yes above, please list their names below Add RemovePlease note they will need their own permits and this form will need to be completed separately for them. The only two exceptions to this are if: - you are also riding on the same PWC as a passenger at all times - you are accompanying them on a seperate PWC and hold an RYA Instructors QualificationI will ensure correct harbour PWC fees are paid on each and every PWC I use on the river.* I agree I will never approach the beach in bathing areas marked by yellow buoys and, at all times, I will keep well clear of all swimmers / non-powered craft* I agree I will assist Harbour Staff by explaining the system to other PWC users and report wrong-doers where appropriate on 01903 721 215* I agree I will not operate a PWC without current and appropriate 3rd party insurance* I agree I understand that the local PWC restrictions are enforceable in criminal court with a fine of up to £2,500* I agree I understand that my permit will not be valid until I visit the office to sign and collect my hard copy permit. I will carry this permit for inspection by Patrol Staff at all times.* I agree Like all other harbour users, I will obey all General Directions, Collision Regulations, Patrol Staff, and council byelaws (see www.littlehampton.org.uk/regulations for overview)* I agree I consent to my details being shared with the committee of Littlehampton PWC Club, the RNLI and government agencies* I agree Sharing in line with LHB’s data processing notice at www.littlehampton.org.uk/privacy-policy/lhb-data-processing-notice/By ticking here and signing my hard copy permit, I agree to comply the restrictions on PWC use in Littlehampton Harbour as outlined in the Littlehampton Harbour PWC Policy (https://www.littlehampton.org.uk/pwc)* I agree CAPTCHANameThis field is for validation purposes and should be left unchanged. Δ
