Name
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First Name
Last Name
Nickname
Email
*
Home Phone
(###)
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Cell Phone
(###)
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Business Phone
(###)
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Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Birthdate
MM
DD
YYYY
Spouse, Partner, or Other Household Adult Name
First Name
Last Name
Spouse, Partner, or Other Household Adult Nickname
Spouse, Partner, or Other Household Adult Email
Spouse, Partner, or Other Household Adult Cell Phone
(###)
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Spouse, Partner, or Other Household Adult Business Phone
(###)
###
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Emergency Contact Name
*
Emergency Contact Phone number
*
(###)
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Will Spouse, Partner, or Other Household Adult be an active sailor?
Will Spouse, Partner, or Other Household Adult Attend Instruction?
Names of Minor Children (Under 21 years) and Birthdates
Will Children Attend Instruction?
When would you be interested in sailing?
Other Comments on when you may want to sail
Describe Your Previous Sailing experience:
Do You and/or your family members know how to swim?
We hold club races every Sat. morning (mostly Thistle class) during our sailing season. Would you be interested in joining our racing program?
If yes, please list prior racing experience. If none, say 'novice'.
List any special skills you have that would help in maintaining club boats and facilities, or in club operations – for example, carpentry, fiberglass work, painting, welding, splicing, sail repair, accounting, gardening or cooking
How (or from whom) did you learn about the Club?
I hereby apply for membership in the New Castle Sailing Club. I will do my fair share of maintaining the Club boats and facilities. (You must answer "Yes" to complete application)
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Date
MM
DD
YYYY
