ResqVester Registration Form

Fields with an * Asterick are Required.

* ResqVester Tag Number(s):
If you purchased a pair of tags, you can enter both numbers

Type of Registration: (Click for Help)

Vessel
Personal

Personal Registrations can Skip all the Vessel Information unless you own a boat.

Name of Vessel:

Vessel State Registration Number:

Vessel Dock Location (or trailer license number):

* Enter your primary email address below:
* Enter Email Address:

* Enter Email Address Again:
(mandatory) (Example: name@domain.com )

Please complete the following section:
The address you want us to provide to law enforcement:

* Name:
* Street Address:
Apt. No./Other:
* City:
* State:
* Country:
* ZIP Code/Postal Code
Home Phone:
Ideally this is a phone with voice mail that you would check.

Cell Phone:
If you have a cell phone, enter the number here.

Cell/Home Phone of Emergency Contact:
Enter 1 Number Please, cell or home number if cell not available.

Name of Emergency Contact:

Enter a Password you will remember. Thank you. Please write it down.
You will need it to make any changes to the registration.
Maximum length 10 characters. We recommend an easy to remember password. Letters should be ONLY in lower case.

* Pick a Password:

* Enter the Password Again:

For Vessel Registrations Please Enter a Description of Your Vessel/Boat/Ship:
Personal registrations, if you have your own boat, provide this information.

What are the maximum number of passengers/crew your vessel is licensed for?
Passengers:
Crew:

For Personal Registration Please Provide Critical Medical Information that
Would be Useful to the Coast Guard and other First Responders.