Please:

1. Print and fill in this application form.

2. Download, print, read, fill in and sign the Conditions of Membership

Return to:

Mail both this application form and the Conditions of Membership document to:

Sugarloaf Sailing Club Inc.

Box 220 Kangaroo Ground, Vic. 3097

Application:

I wish to apply for membership as a:

Junior

Senior

Family

Associate

Junior Member Date of Birth _____/_______/______

Annual Race Fee

Boat Storage

Name:____________________________Spouse:____________________________

Postal Address:_________________________________________Postcode:______

Email:_______________________________________________________________

Telephone Home:___________________Telephone Work:____________________

Member Occupation:_________________Spouse Occupation:_________________

If you have a Power Boat Licence, No.:____________________________________

If you own a boat:

Class:______________Sail Number:___________Name:______________________

Other Family Members Covered by this Membership

Family members include your Spouse/Partner and your children under the age of 18 as at the 1st of June of the current Club year or children who are bona fide students (please state the students card no. where applicable).

Child Name:________________________Child Name:_________________________

Child Name:________________________Child Name:_________________________

How did you hear about the Club?_________________________________________

Conditions of Membership

I have read, understood, agree and signed the Condtions of Membership enclosed with this application.