NEW MEMBERSHIP APPLICATION 2011/12

SAILING MEMBERSHIP*
			     				      FEES        SPECIAL     Amount
									    ½Price       Payable
    OFFER    	
Family membership. …………………………………..£95.00	    £47.50         £……….

Single membership……………………………….……£80.00        £40.00         £……….

Cadet  (age 14-17)
or Student  membership …..…….………….......…… £30.00	    £15.00         £……….

NON SAILING MEMBERSHIP

Non-Sailing family
Member	         ………………………........... ……£60.00        £30.00         £……….

BOAT HIRE

 Club Boat Hire ………………………………………...£120.00      £60.00         £……….
(for new members only - runs concurrently with the membership year)

Own Boat(s) Fees (cost to keep your boat in our compound)
    
Class ………………………………   Sail No. ……………….£70.00	             £ ……….

Class ………………………………   Sail No. ……………….£70.00	             £ ……….
 
					TOTAL REMITTANCE		            £ 
											  =======
Please make cheques payable to:  “MWYC”
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Your Name - Main member…………………………………….................................

Spouse/partner(where applicable)…………………………………………………….

Your Address..…………………………………….…………………………………….

…………………………………………………………………………………….

…………………………………………………  POST CODE ………………..

Tel No         ………………………………………………………………………………

Moblie No       ……………………………………………………………………………

EMAIL            ……………………………………………………………………………
								Please complete the reverse

* Membership year is from 1 April 2011 to 31 March 2012

THIS DECLARATION MUST BE SIGNED BY ALL MEMBERS 
EXCEPT CHILDREN UNDER 14

I/We the undersigned:

Declare that I/we have read and fully understood the information leaflets “Weil’s Disease” and “Blue/Green Algae – The Facts”, and that in the event of any loss, damage, personal injury or death arising from contact with the water, I understand that Mid-Warwickshire Yacht Club will not be liable for costs or damages because I have voluntarily accepted the risks associated with water contaminated by Weil’s disease or Blue-Green Algae.
(Information leaflets are on display within the Clubhouse and available on request)

AND
I will ensure that my boat(s) are insured against third party risks (minimum £3,000,000) at all times when on Club premises
AND
I will, before commencing sailing, inform the Duty Committee, of any medical condition I have that could occur during my sailing activities
AND
I am aware of the Club’s Health & Safety Policy objectives.  I understand that I have a duty to take care of the health & safety of myself and others affected by my actions when on Club premises
(A copy of the full Health & Safety Policy Statement is available on request)
AND
	I agree to abide with the rules of Mid-Warwickshire Yacht Club Sail Section.
	(A copy of the Club rules is available for inspection in the Clubhouse).

MEMBERS SIGNATURES

NAME	 ………………………………… SIGNATURE ………………………. DATE ………..

NAME ……………………………….... SIGNATURE …………………….… DATE ………..

A Cadet applicant (14-17 years old inclusive) must also obtain the signature of their parent/guardian to the section below:

“I have read the above and agree to …………..……………………..(insert name of  cadet applicant) being bound by the club’s membership and other rules.” 

Signed………………………………………….Date……………     (Parent or Guardian).

CHILDREN UNDER 18 YEARS OLD

NAME OF CHILD ……………………………………………  D of Birth…………………

NAME OF CHILD ……………………………………………  D of Birth…………………

Membership Proposed by ………………………….. Seconded by …………………..