Membership Application
Print and mail to:
Collingwood Ya
cht Club IncorporatedP.O. Box 56, Collingwood ON L9Y 3Z4
www.collingwoodyachtclub.com
Per
sonal InformationFirst Name: ..Last Name: .Partners Name: . .........
Add
ress:Street: . Home Phone: . Email address ... .........
City: Province .Postal Code: .Other Phone: . ...............
Boat Information
Boat Name: Manufacturer:.
Model: Power/Sail: ..
L.O.A.: ....Beam: .Draft: . ...Displacement: Colour: ..
Other:
Insurance Company: . ..Policy Number: . . .
Liability Amount: ..Expiry Date (M/D/Y): .. ..
Will you fill our 10 hours work requirement each year?
Y/N (If no, you will be billed for hours not worked)Do you have any special talents, trade skills or abilities to offer in lieu of work hours? (If yes please describe)
I hereby release Collingwood Yacht Club Incorporated from any liability or responsibility in any way for damages however caused
, to my boat(s) and/or property whilst in or on Collingwood Yacht Club Incorporated premises. I also acknowledge that I must maintain at least two million dollars ($2,000,000.) liability insurance on my boat at all times.Date: Signature: . .
Witness signature: Witness name (please print): .. .. .. ..
Witness address:
Sponsors Name 1: .. .. Sponsors Name 2... ...
For club use only
Amount Paid: .. Date Accepted (M/D/Y) :
MemberType: Full/Associate/Social