Lydney Yacht Club
Application for Membership
(please print clearly throughout)
I wish to apply for Adult/Family/Cadet/Young Adult (delete as appropriate) membership of Lydney Yacht Club:Applicant’s Name:……………………………………………………………
Address:………………………………………………………………………………………………………………………………………………………………………..
……………………………………………………………………….. ………………………..Post Code:………………………………………………………………..
Telephone (Home):………………………………………………………….
(Mobile):………………………………………………………………………….
Email addresses:
Main Applicant: ………………………………………..@.....................................................................................
Spouse/Partner: ………………………………………..@.....................................................................................
Children’s Names and Ages:………………………………………………………………………………………………………………………………………….
Craft currently owned (only if to be stored at the Club):……………………………………………………………………………………………….
This information will be held on the Club’s computerised database and may be made available to other Club members.
Please note that members are expected to assist with the maintenance and running of the Club by attending work
parties and undertaking race control and safety boat helming duties according to their individual abilities and skills
If your application is approved you must agree to observe the Rules, By-laws, Regulations and safety
Recommendations of the Club which available to view in the information folder in the cabinet in the snug at the Club.
I understand that the Club only provided rescue facilities during racing and some other sailing events.
You must also accept the condition that neither the Club, nor any officers or members acting on behalf of the Club can
be held liable for any injury or damage arising from any circumstances whatsoever.
The current entrance and subscription fees and various charges for use of Club facilities are listed overleaf.
Please sign the declaration below and return this form, with your payment to:The Membership Secretary, David Phillips, High Bracken, Popes Hill, Newnham, Glos, GL14 1LE
Cheques should be made payable to “Lydney Yacht Club”
Declaration: I/We hereby confirm that I/we understand and accept the provisions set out in this form.
Signed:…………………………………………………………………….. Date………………………………………………………………..................
Proposed By:………………………………………………………………………………………………………………………………………………………
Seconded By:……………………………………………………………………………………………………………………………………………………….
By signing above I understand that, save for death or personal injury caused by negligence, neither the organiser/s of an event, not the committee
or trustees, accept any liability for any accident, damage, injury or illness to members, spectators or any other person or property whatsoever. I
recognise that sailing is a risk sport and I have the competence to undertake the events I intend to enter. I also agree to abide by all of Lydney
Yacht Club’s Rules, By-laws and Regulations, as produced in the programme.
Lydney Yacht Club
If applying for Cadet Membership the parents or guardians of the applicant must complete the section below.
Undertaking to be signed by the parents/guardians of Cadet Members:
A Cadet Member is a person under 18 years of age, a Young Adult member is between 18 and 21 and in full time
education. I understand that parents/guardians have sole responsibility for their children/wards and must appreciate
that the Club cannot be expected to exercise supervision or control whilst sailing or ashore at the Club.
Signed:………………………………………………………………………
Date………………………………………………………………………….
Print Name:……………………………………………………………… Relationship to Cadet/Yong Adult……………………………………………
Member:………………………………………………………………….
Subscription and Other Fees 2015
Main Member
Interested Spouse / Co-habiting Partner
Cadet Member/Young Adult Member (up to 21, still in full time education)
Boat Storage 1st Oct 14 – 30th Sept 15 (or any part of) < 20’
Slippage Annual charge for boats not stored but trailed to the club
£70
£15
£20
£55
£35
TOTAL
Club Duties
Please circle which type of duties you would be capable of:
-
Main Applicant: Water Based / Land Based
Spouse/Partner: Water Based / Land Based
(If nothing is circled it will be taken that you will do either)
If you have any qualifications which you feel may be of benefit to the Club please list them below:
(E.G RYA, First Aid)
……………………………………………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………………………………………..
If you any questions, please contact me by email: [email protected]