Sugarloaf Sailing Club

Application Form

Please select your subscription type*:

Select		Subs pa#	Joining Fee		Included on Duty Roster
	Family	$394	$111	Up to Two Parents & Dependents	One Parent & Dependents over 18
	Adult	$276	$111	One Adult	If over 18
	Student	$118	$111	One Student	If over 18
	Associate	$41	$111	One Individual

All subscriptions with the exception of 'Associate' enable free access, training and use of club boats.

All subscriptions with the exception of 'Associate' and those under 18 years of age enable voting riights.

#Second year subscriptions, due 1st Sept, will be reduced prorata depending on the month of joining.

For applications for those less than 18 years of age, this form must be completed by a guardian.

Guardian First Name:

Guardian Surname:

Applicant
First Name *:

Applicant
Surname *:

Applicant
Year of Birth (if under 18 year old):

I am greater than 18 years of age *:

I have read, understood, and agree to the Conditions of Membership *

The Club and Australian Sailing Privacy Policy can be found : here:

Email *:

Mobile
Telephone *:

Emergency Contact
Telephone:

Street
Address *:

Town/
Suburb *:

Postcode *:

Your
Occupation:

Partner's
Name:

Partner's
Last Name:

Partner's
Occuption:

Dependants that may be part of a Family Membership

Name:

Last Name:

Age:

Name:

Last Name:

Age:

Name:

Last Name:

Age:

Name:

Last Name:

Age:

Options

Do you require a Boat Park Space?: $94 p.a.

Conditions Apply

If so, please provide enough information to identify your boat.

Boat Class:

Sail Number:

Name:

Trailer Reg No.:

Other unique boat or trailer feature:

You may apply for addtional boat park spaces, if available, separately.

Licences that may assist Club Operations (Not Essential)

Power Boat Licence Number:
(If you have one, otherwise leave blank)

Working With Children Cert No. :
(If you have one or if excempt type excempt, otherwise leave blank)

How you heard about the Club and anything else you wish to add

* Mandatory fields