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CIYC Online Membership Application
Version dated 01/15/2024
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Option 1
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To be completed by applicant or CIYC:
List the two CIYC club members that are sponsoring your application:
Your answer
Your Full Name
*
Your answer
Your Spouse/Partner's Name
Your answer
Non-adult Children's Names & Ages
Your answer
Home Address (including city, state and zip)
*
Your answer
Mailing Address (including city, state and zip)
*
Your answer
Contact Phone Number
*
Your answer
Your Spouse/Partners Contact Number
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Your Spouse/Partners Email
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Your Birthdate (Month and Day)
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Your Spouse/Partner's Birthdate (Month and Day)
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Other Yacht Clubs or Boating Affiliations
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Boat Name
*
Your answer
Home Port
*
Your answer
Manufacturer and Model
*
Your answer
Length (feet and inches)
*
Your answer
Beam (feet and inches)
*
Your answer
LOA (length overall - feet and inches)
*
Your answer
Registered Owner(s)
*
Your answer
CF or Documented #
*
Your answer
If accepted as a new member I/we are interested in volunteering in the following areas (please check all that apply):
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BOD Position - Commodore
BOD Position - Vice Commodore
BOD Position - Rear Commodore
BOD Position - Secretary
BOD Position - Treasurer
BOD Position - Fleet Captain or Cruise Captain
BOD Position - Membership
BOD Position - Communications
Ship's Store
Entertainment
PICYA Delegate
Safety
Cruise Out/Events - Decorating/Food
Cruise Out/Events - Activity Planning
Cruise Out/Events - Be a cruise leader
Nothing at this time but will think about it going forward
Other:
Required
Do you have any special skills that you want to share with other club members. For example: General Contractor, Mechanic, Lawyer, Accountant, Owner of a business, etc...
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If accepted as a New Member please provide below 3 to 4 sentences for a club announcement. The Membership Director will reach out to you upon receipt of application.
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