Wimbleball Sailing Club
Membership Application/Renewal (Delete as required)
(Renewal Date 1st March 2010 to 28th Feb 2011)
Name








Address & postcode








E-mail address





Tel.No


Name of spouse/partner


Class of craft


Sail Number




Type of membership required
Joining Fee £
Subscription £
Costs £
Family partner and children under 18 years of age living at the above address
£31
£77
 
Individual
£18
£54
 
Crew(Non boat owning sailor)
£12
£47
 
Shore(Non sailing individual)
£12
£22
 
Student under 21 in full time education
£11
£26
 
Junior under 18 years old
Nil
£20
 
Winter(1st Oct to 31st March including boat park)
Name of "Winter Member's Club"

...................................
Nil
£47
 
Berthing (max length 20 ft) Dinghy
£36
 
Catamaran
£49
 
Canoe/board
£21
 
Mooring
£49
 
No duties fee (if required)  
£75
 

TOTAL COSTS

£







In order to help the smooth running of the club, would you please answer the following, (please tick).

1.
What are your prefered duties?D.C.M.Safety BoatRace OfficerGeneral Duties
2.
Do you own a wet/dry suit for Winter duties?YesNo
3.
Do you have current first aid training?YesNo
Would you be prepared to act in this role at the club?YesNo
First Aid Certificate date.
4.
Are you currently a "recognised" safety boat helm?YesNo
"Powerboat" certificate number/details/date.
5.
Are you currently a "recognised" instructor?YesNo
Instructor type/Cert date.
6.
Your WSC grading?Not KnownAB

If you have internet access it would help the club if you could please check and update online, all relevant information, on a frequent basis.

Please read and sign the following DECLARATION

I have read and understood the By-Laws of the Club (detailed on the web page) and agree that I, and any visitors that I may bring into the club, will observe them.
I agree that contact information (i.e phone no. & e-mail address) may be published to members to aid communication and administration of the duty system.
Signed                                                                           Date




Please forward all parts of this form with appropriate fees (payable to 'Wimbleball Sailing Club')to the Membership Secretary. (Mr Colin Allen, 76 Wellesley Park, Wellington, Somerset, TA21 8QA.)

Your application will be reviewed by the Wimbleball Sailing Club Committee and confirmation of membership will follow shortly.

Thank you for completing this form, we look forward to your membership of the club.