Ass

Instr

*

Title

Known as

Name

Home Telephone

Work Telephone

Mobile

E-mail Address

Instr

S1

S2

S3

Instr

PB1

Safety

PB2

I understand that I will be held responsible for the conduct of my family and pets and will take every precaution to avoid nuisance to other club members. As a club member I understand that I may be liable for various club duties commensurate with my qualifications as detailed

Name of Child 2
Please include DOB

*
*
*
*
*
*
*
*
*
*
*
* required field
RYA Qualifications

Self

Name of spouse

Name of Child 1
Please include DOB

Name of Child 4
Please include DOB

Name of Child 3
Please include DOB

L1

L2

L3

Sailing Dinghy
Power Boat
Wind Surfing

Membership Application
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We shall get back to you shortly If you meet the membership criteria you will receive an email from server@serifwebresources.com with a link to complete the registration and obtain your password. Your membership number will be sent to you by the Membership Secretary.
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