Membership Application [for new members]Applicant's DetailsName *Date of Birth (format dd/mm/yy) *Email *Phone *Street Address *Town/City *Post Code *Partner's DetailsName Phone Emergency Contact's DetailsName *Phone *Classes of boats owned by you Tick as requiredIOMDF95DF65Canterbury JEC12MarbleheadOtherNoneDetails of boats owned by youClass - Design Hull Number Sail Number Class - Design Hull Number Sail Number Class - Design Hull Number Sail Number Class - Design Hull Number Sail Number National Association Membership NZRYACJCOAEC12IOMNCAOther Club Membership[s] CMYCORYCRYSNCYAOther [list other Club Memberships here] Membership FeesMembership 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 Member $50.00Youth Member $25.00Supporter Member $25.00Life Member $0.00Payment instructions 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 receiptConditions 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. 3. I am happy for my name and phone number to be included in the Membership Contacts List, and for audio visual records of me and my yacht being included in Club communications with members. I will not share the membership contact details or audio visual items beyond the club's members without the permission of the member(s) involved. *I accept the conditions of membershipHow can you assist the ClubEvery member has a mix of skills, knowledge and experience which could help the club continue to blossom, and meet your aspirations. What is your mix? Please let us know how you would like to help. * VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>:
