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.
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