Personal Details Date of Birth: Emergency Contact Details Classes of boats owned by you (tick as required.) IOM Canterbury J DF95 DF65 EC12 Marblehead Other Details of boats owned by you National Association Membership NZRYA CJCOA EC12 IOMNCA Other Other Club Membership(s) CMYC ORYC RYSN CYA Other Membership Fees MEMBERSHIP CATEGORIES FULL MEMBER: Anyone not within Youth or Supporter categories YOUTH MEMBER: Anyone who is age 19 or under at 30 June of this financial year SUPPORTER MEMBER: Anyone supporting the club other than sailing in the regular sailing program. LIFE MEMBER: Anyone elected by the membership in recognition of special service to the Club. NOTE 1. A supporter member may join as a full member, if desired, as further support to the club. 2. Each of the fee categories covers automatic registration with the National Body (New Zealand Radio Sailing Association - NZRYA). 3. Annual registration with NZRYA will be paid from Club funds for Life Members. Membership Category * Full Membership $50.00Youth Membership $25.00Supporter Member $25.00Life Member $0.00 Please pay the fee for your category into the club's Bank Account: 38-9020-0203033-00 with "Membership Fee" and your name as reference. I Require a Receipt Conditions of Membership 1. I will abide by the Rules of the Club in its Constitution and Health and Safety Plan 2. I am aware of the inherent risks in the Activity Program and a. accept responsibility for my personal safety and well being, and b. respect the well being of other members, and c. accept responsibility for the safe use of my own and the club’s property. I accept the membership conditions How can you assist the Club Please prove you are human by selecting the Heart.