2017 Membership Registration

2017 Membership Registration
LAST NAME
FIRST NAME
SPOUSE NAME
STREET
CITY/STATE/ZIP
E-MAIL ADDRESS
ADDITIONAL E-MAIL
PREFERRED PHONE
ALT PHONE
Name and Age Today
CHILD 1 UNDER 25
CHILD 2 UNDER 25
CHILD 3 UNDER 25
CHILD 4 UNDER 25
Amount Paid
Membership Fees
SOCIAL MEMBERSHIPS
INDIVIDUAL SOCIAL MEMBERSHIP – One Person Age 25 or older on Jan. 1, 2017
FAMILY SOCIAL MEMBERSHIP- Includes children under 25 as of Dec. 31, 2016
RACING MEMBERSHIPS (racing in any fleet three times or more in 2017)
JR. RACING MEMBERSHIP- One Person Age 24 or younger on Dec. 31, 2016
$50
$100
$35
SENIOR RACING MEMBERSHIP – One Person Age 25 or older on Jan. 1, 2017
$65
FAMILY RACING MEMBERSHIP- Includes children under 25 as of Dec. 31, 2016
X BOAT CREW (fee in addition to membership for X Boat Sailing School Instruction)
$125
$50
Boat Owner Racing Fleet and Harbor Fees (X Boat fee includes X Fleet sailing school for skipper)
Sail Number
Boat Name
OPTI - WED SERIES
Specific boat may be requested for the season as available
$50
LASER
$65
LASER RADIAL
$65
LASER HARBOR FEE
Necessary if laser will be kept at the harbor
$100
420
$225
X BOAT
$525
E SCOW
$375
A SCOW
$375
I hereby certify that I have liability insurance covering the boat(s) listed above
Signature:
Date:
For the past 25 years the OYC Sailing School has provided a community value
based youth sailing school. Please consider a 501C3 deductible donation to the
OYC sailing school so we may continue to offer this program.
DONATION:
TOTAL
PAID:
To ensure accurate listing in the OYC Directory, please return by March 31,2017
To become a member, you may pay in two ways:
7
o Fill out the form and make check to OYC
and mail to P O Box 874, Oshkosh WI 54903-0874
o Pay online at www.oshkoshyachtclub.org (click on membership)
The Oshkosh Yacht Club, may use pictures or images of its members taken at functions and events in its handbook, on its website and other social
media. Members implicitly consent to the use of such images by the club unless they direct the club, in writing, that such consent is withheld.