Blue Sky Sailing Club Membership Application/ Renewal / Update for 2011 Please complete the right column

of this word.doc on your computer and email it as an attachment to blueskysailingclub@gmail.com

Todays date YYYY/MM/DD First name Surname Membership Type: [ ]Social Member [ ]Full Member [ ] Family Member Regular Family / Full Membership $100 per family [ ] Social Membership $50 per person [ ] Annual Renewal (existing member) [ ] NEW MEMBERS add $50.00 for Social or $100 for Family membership as initiation fee in addition to the annual fee (one time only initiation fee) [ ] $100 = Initiation + Social [ ] $200 = Initiation + Family/Full Address City/Municipality Province/State Postal Code/Zip code Country Other family members names if applicable Telephone Email (important) I would like to make a donation to Blue Sky Sailing $ I have a boat: Boat and length Hull colour and special markings Sail number Yes, I would like to volunteer. Please contact me [ ] Family Membership renewal fee is $100 a year. Social Member renewal fee is $50 a year. This form is your only invoice you will receive from the club. Show your support and pay promptly. Your membership renewal invoice for next year will arrive by email in late autumn. Volunteers needed: Blue Sky Sailing Club is a not-for-profit organization managed entirely by volunteers. As a member, you are asked to volunteer in assisting in club activities. Many skills are required, and most can be offered from the comfort of your home (approx 10 hours/year). We need skills and experience with boat and rigging maintenance, accounting, and social activity coordinators. For details, contact us at blueskysailingclub@gmail.com Please email this form to blueskysailingclub@gmail.com and also, Please send your membership cheque and a hard copy of this signed form, to: Blue Sky Sailing Club Attn: Memberships 153 First Ave East North Bay, ON Canada P1B 1J7 Waiver and Signature: In consequence of being a member and taking part in the activities of the club, members assume the risk of participation and agree to waive any and all claims that they, or their executors, legal representatives, heirs, successors and assignees may have against the Club, its committees or Officers, for accidents, injury or death arising from participation. They also indemnify each of the above against any claim arising from participation by their guests not herein named at the club site. Print Name:_____________________________________________________ Signature: _______________________________________________________ Date: ___________________________