CENTREBOARD DIVISION - APPLICATION FOR MEMBERSHIP Step 1 of 2 - CONTACT DETAILS 50% SANDSPIT YACHT CLUB - CENTREBOARD DIVISION APPLICATION FOR MEMBERSHIP 2022-2023 seasonI/we the undersigned submit this application for membership of the Centreboard Division of the Sandspit Yacht Club (Inc)Main contact (parent/guardian) (Sailor/s details on page 2)Unique IDName* Dr.MissMr.Mrs.Ms.Prof.Rev. Title First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home PhoneMobile*Email Partner/secondary contactName Dr.MissMr.Mrs.Ms.Prof.Rev. Title First Last Home PhoneMobileEmail SYC CENTREBOARD MEMBERSHIP FEE – $85.00 for six months or $170 for 12 months Centreboard membership is for the whole family (no more than two adults and their children under the age of 18 years as at 30 June in that current year). This membership is restricted in comparison with FULL SYC membership in that Centreboard members shall have no voting rights (other than within their own division), no parking privileges at the main clubrooms (other than for meetings, dining etc), and shall not be entitled to reduced rates in respect of SYC haulout, hardstand, wharf and ramp facilities. Thus they are not required to pay the SYC nomination fee as a FULL member must. SAILING FEES – see next page In signing this application I/we hereby agree to abide by the rules and by-laws of the Sandspit Yacht Club (Inc). I understand that in accordance with the Sandspit Yacht Club Inc. Constitution, if I elect to Centreboard Division Membership only, I forfeit voting rights and discounted rates for the Clubs Sandspit facility haulout, hardstand, wharf and ramps.With junior sailing, we understand that a parent/guardian from our family is required to help out with roster duties each week, and attend a monthly meeting for the duration of the time we are involved in junior sailing and agree to do my best to fulfill these duties. CENTREBOARD DIVISION LEARN TO SAIL2022-2023 seasonSailor No # 1:* First Last Date of Birth*DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sailor No # 2: First Last Date of BirthDD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sailor No # 3: First Last Date of BirthDD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please list any concerns, special requirements, food allergies, medical history etc, that you feel we should be aware of or simply things that would help us to enhance the sailing experience of your child/children:I am new to the club, and registering as a new member.* YES NO I am currently a Full Member of the SYC Membership # (in which case, you do not have to pay $85 for the 6-month membership below) as it is included in your Full Membership fees.SAILING FEES - COURSE REQUIREDLEVEL 1 Sunday - 1st Child:$200 for the first child for 8 wk programme, $100 for every other child within the family (dinghy supplied*) Price: $ 200.00 Quantity: LEVEL 1 Sunday - 2nd Child:$200 for the first child for 8 wk programme, $100 for every other child within the family (dinghy supplied*) Price: $ 100.00 Quantity: LEVEL 1 Monday Evening - 1st Child:$200 for the first child for 8 wk programme, $100 for every other child within the family (dinghy supplied*) Price: $ 200.00 Quantity: LEVEL 1 Monday Evening - 2nd Child:$200 for the first child for 8 wk programme, $100 for every other child within the family (dinghy supplied*) Price: $ 100.00 Quantity: LEVEL 2 - 1st Child:$200 for the first child for 8 wk programme, $100 for every other child within the family (must supply own dinghy*) Price: $ 200.00 Quantity: LEVEL 2 - 2nd Child:$200 for the first child for 8 wk programme, $100 for every other child within the family (must supply own dinghy*) Price: $ 100.00 Quantity: Plus Half-year SYC Centreboard Membership fee $85 (mandatory) Price: $ 85.00 Quantity: *O’pen Bic Hire$150 for the first child, $50 for every other child within the family Price: $ 150.00 Quantity: TOTAL FEES PAID: $ 0.00 Consent* I hereby declare that the details furnished above are true and correct to the best of my knowledge.EmailThis field is for validation purposes and should be left unchanged.
