Download Report

AVALON SAILING CLUB
AVALON SAILING CLUB MEMBERSHIP APPLICATION FORM
APPLICANT(S) INFORMATION
Family Name*:
Home Address*:
Mailing Address (if different)*:
Home Phone*:
Date of Application:
Published Phone 1:
Published Phone 2:
Primary Email*:
Secondary Email:
/
/
MEMBERSHIP TYPE (TICK)
Family
Single Adult
Junior
Social Associate
Supervising Adult
Groups of Interest: (tick all that apply)
Yacht Racing
Yacht Cruising
Etchells
Instructor
School Student
Working Bees
Blue W-L/Camp
Blue
Purple
Red
Gold AM
Gold PM
MJ
29er
Flying 11
Laser
Spiral
Paddleboard
BIC
ADULT (1) INFORMATION
First name:
Current Boat License?
Mobile:
Last Name (If different to Family)
YA Mem. Exempt? (Social only)
Current First Aid Certificate?
YA Number:
DOB (YA req. for New):
/
/
BOAT 1
Sails Boat Type? Yacht/ Paddle
board / Other
In Group?
Boat Make:
Boat Name:
Cruising / Racing
As a :
Helm / Crew
Sail Number:
BOAT 2
Sails Boat Type? Yacht/
Paddleboard / Other
In Group?
Boat Make:
Boat Name:
Cruising / Racing
As a :
Helm / Crew
Sail Number:
PLEASE INDICATE THE ROLES YOU WOULD BE PREPARED TO VOLUNTEER FOR:
Suitable roles: Please tick ALL that apply. Mark any roles with a ‘T’ that you would be prepared to do after training. Please
mark at least ONE additional role with an ‘S’ for a Shadow Duty whereby you learn a new role by observing someone else.
Canteen
Blue Mentor
Red Mentor
Yacht Coord.
Beginner Sign-on Coord.
AM Race Control
AM Race Scribe
AM Race PRO
AM Mark Boat
AM Response Boat
PM Race Control
PM Race Scribe
PM Race PRO
PM Mark Boat
PM Response Boat
Working Bees*
Social Events*
Fundraising*
* These roles are not rostered
Do you have skills and qualifications that you would be prepared to use to assist the club? (e.g. electrician, plumber, builder,
accounting, boat maintenance, sailing coach etc.)
Page 1 of 4
AVALON SAILING CLUB
AVALON SAILING CLUB MEMBERSHIP APPLICATION FORM
ADULT (2) INFORMATION
First name:
Current Boat License?
Mobile:
Last Name (If different to Family)
YA Mem. Exempt? (Social only)
Current First Aid Certificate?
YA Number:
DOB (YA req. for New):
/
/
BOAT 1
Sails Boat Type?
Other
Yacht /
In Group?
Boat Make:
Cruising / Racing
As a :
Boat Name:
Helm / Crew
Sail Number:
BOAT 2
Sails Boat Type?
Other
Yacht /
In Group?
Boat Make:
Cruising / Racing
As a :
Boat Name:
Helm / Crew
Sail Number:
VOLUNTEERING
Suitable roles: Please tick ALL that apply. Mark any roles with a ‘T’ that you would be prepared to do after training. Please
mark at least ONE additional role with an ‘S’ for a Shadow Duty whereby you learn a new role by observing someone else.
Canteen
Blue Mentor
Red Mentor
Yacht Coord.
Beginner Sign-on Coord.
AM Race Control
AM Race Scribe
AM Race PRO
AM Mark Boat
AM Response Boat
PM Race Control
PM Race Scribe
PM Race PRO
PM Mark Boat
PM Response Boat
Working Bees*
Social Events*
Fundraising*
* These roles are not rostered
Do you have skills and qualifications that you would be prepared to use to assist the club? (e.g. electrician, plumber, builder,
accounting, boat maintenance, sailing coach etc.)
CHILD (1) INFORMATION
First name:
Mobile:
Last Name (If different to Family)
Boat License?
YA Membership exempt? (Blue only)
Date of Birth:
/
/
YA Number:
Weight:
Kg
Weight Date:
/
/
BOAT 1
Sails Boat Type?
In Group?
As a :
Boat Name:
Helm / Crew
Sail Number:
BOAT 2
Sails Boat Type?
In Group?
As a :
Boat Name:
Helm / Crew
Sail Number:
CHILD (2) INFORMATION
First name:
Mobile:
Last Name (If different to Family)
Boat License?
YA Membership exempt? (Blue only)
Date of Birth:
/
/
YA Number:
Weight:
Kg
Weight Date:
/
BOAT 1
Sails Boat Type?
In Group?
As a :
Boat Name:
Helm / Crew
Sail Number:
BOAT 2
Sails Boat Type?
In Group?
As a :
Boat Name:
Helm / Crew
Sail Number:
Page 2 of 4
/
AVALON SAILING CLUB
AVALON SAILING CLUB MEMBERSHIP APPLICATION FORM
CHILD (3) INFORMATION
First name:
Mobile:
Last Name (If different to Family)
Boat License?
YA Membership exempt? (Blue only)
Date of Birth:
/
/
YA Number:
Weight:
Kg
Weight Date:
/
/
BOAT 1
Sails Boat Type?
In Group?
As a :
Boat Name:
Helm / Crew
Sail Number:
BOAT 2
Sails Boat Type?
In Group?
As a :
Boat Name:
Helm / Crew
Sail Number:
CHILD (4) INFORMATION
First name:
Mobile:
Last Name (If different to Family)
Boat License?
YA Membership exempt? (Blue only)
Date of Birth:
/
/
YA Number:
Weight:
Kg
Weight Date:
/
/
BOAT 1
Sails Boat Type?
In Group?
As a :
Boat Name:
Helm / Crew
Sail Number:
BOAT 2
Sails Boat Type?
In Group?
As a :
Boat Name:
Helm / Crew
Sail Number:
BOAT STORAGE
Mooring Requested?
Boat Type:
Boat Name:
Boat Length:
Boat Weight:
Rack Requested? Inside/Outside
Dinghy / 29r / Spl / Lsr / F11 / MJ / BIC / Pdle Brd
Boat Name:
Rack Requested? Inside/Outside
Dinghy / 29r / Spl / Lsr / F11 / MJ / BIC / Pdle Brd
Boat Name:
Rack Requested? Inside/Outside
Dinghy / 29r / Spl / Lsr / F11 / MJ / BIC / Pdle Brd
Boat Name:
Rack Requested? Inside/Outside
Dinghy / 29r / Spl / Lsr / F11 / MJ / BIC / Pdle Brd
Boat Name:
CLUBHOUSE KEY
On payment of a $50 deposit, members will be issue with a key to the Clubhouse which will unlock the main door, boat shed
doors and the padlocks on the ramp gates to either side of the deck. When using the key, please remember to ensure that
all doors and gates are locked when leaving. If other members are on the premises when you leave, please arrange for them
to lock up. It is Club policy that you assume full responsibility for the key's use and do not loan it or allow it to be used by
anyone other than a Club member. Should you leave the Club it is a requirement that the key be handed back, after which a
refund of the deposit will be organised. Upon signing this application you are agreeing that you have read and understood
the conditions relating to the issuing of a key in your name.
Key Requested?
Page 3 of 4
AVALON SAILING CLUB
AVALON SAILING CLUB MEMBERSHIP APPLICATION FORM
REQUIRED FORMS
Please ensure you complete both the WORKING WITH CHILDREN CHECK and ASC RISK NOTICE and if Joining BLUE GROUP
a
BOAT CARE AGREEMENT:
WWCC
RISK NOTICE
BOAT CARE AGREEMENT
GENERAL
General Notes:
SIGNATURES
I verify that the information provided on this form is accurate and I have received a copy of this application. I also
acknowledge by signing below that my membership status will be provisional until approved by the ASC Main Committee. I
also acknowledge that if, for any reason, the application is rejected any monies paid will be returned to me. Upon
acceptance I agree to be bound by the Memorandum and Articles of Association and the rules of Avalon Sailing Club. I will
be prepared to assist at the club as required and as detailed on the various rosters.
Signature of applicant:
Date:
Name of ASC Office Holder/Assisting (Print):
Date:
Signature of ASC Office Holder/Assisting
ASC – CLUB USE ONLY
Name of Proposer (Print):
Signature of Proposer:
Address of Proposer:
Date:
Presented to Committee
Accepted by Committee
Date of Acceptance:
Treasurer confirmed payment?
Website Database updated?
Group Leader informed?
Welcome letter sent?
Mainsheet issued?
Entered onto Roster?
Working With Children Check?
Risk Notice?
Boat Care Agreement?
Rack allocated?
Mooring allocated?
No :
No :
Key allocated?
Or Waitlisted?
Or Waitlisted?
General Notes:
Page 4 of 4
/
Key No :
/