Free 53581.pdf - Indiana

INDIaNa CleaN boateR pleDge
State Form 53581 (4-08)

Indiana Department of Natural Resources Lake Michigan Coastal Program Coastal Nonpoint Coordinator 1600 North 25 East Chesterton, IN 46304 Telephone: (219) 921-0863

INSTRUCTIONS: 1. Read and complete this form. 2. Mail the completed form to the above address.

As a recreational boater supportive of the Indiana Clean Marina Program, I pledge to be a steward of Indiana's waters. I will read the clean boater tip sheets and use the best management practices recommended therein to protect our aquatic resources. I will further ensure that all passengers aboard my watercraft follow these best management practices, and I will encourage other boaters to be stewards of Indiana's waters as well. For this pledge, I will receive and be authorized to prominently display an Indiana Clean Boater sticker on my watercraft. As an Indiana Clean Boater, I pledge to:
$ Keep our waters free of litter; $ Practice proper watercraft fueling; $ Help prevent the spread of aquatic invasive species; $ Recycle when possible; $ Maintain my watercraft in an environmentally-sensitive manner; $ Not operate my watercraft in sensitive, shallow water habitat areas; and $ Lead by example.
Printed Name of Recreational Boater Address (number and street) City Signature of Recreational Boater Telephone Number State Date (month, day, year) E-mail Address ZIP Code

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