SAMPLE TRIP PLAN

Operator's Name: ____________________________

Address:  _________________________________________________
_________________________________________________________

Telephone number(s): ____________ or _____________

Vessel's name and license number: _________________________

Sail __ Power __ Type and Size: __________________________

Colour: Hull: ________ Deck: ________ Cabin: ________

Type of Engine: ____________________

Other Distinguishing Features: ______________________________

Radio channel(s) monitored: HF _____ VHF _____ MF _____

Safety Equipment onboard: _________________________________

Dinghy or small boat (include colour): __________________________

Flares (include number and type): ___________________________

PFDs or Lifejackets (include number): ___________________________

Other: _______________________________________________

Local Search and Rescue telephone number: ____________

Date of departure: ___________ Time of departure: __________

Leaving from: _____________________ Heading to: ___________________

Proposed Route: __________________________________________________

Estimated time/date of return ______________

Stop-over point _________ Number of persons on board _______________

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freecourse.ca is accredited by Transport Canada to deliver boating safety courses and administer tests for the issuance of Pleasure Craft Operator Cards (PCOCs), including replacement cards, under the Competency of Operators of Pleasure Craft Regulations.

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