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Membership Form

Your Details
First name:
Last name:
Address:
Postcode:
Home phone number:
Work phone number:
Mobile number:
Email address:
Under 18:
Are you joining for the first time?:
Do you intend to take part in racing?:
Membership
Membership type:
Family members:
Payment method:	Bank transfer Cheque
Miscellaneous
Paper copy of the news letter?
Details excluded from the handbook?
Skills:
Certificates:
Boat Details
Boat name:
Boat class:
Sail number:
Is it a dinghy?:
Hull type:
Dinghy Crewname:
Portsmouth Handicap:
Small Catamaran Handcap Rating:
Non standard features of your boat:
Propeller:
Keel:
Declarations
	By checking the box to the left you: Agree to abide by the Rules of the Club as posted in the Clubhouse. (Junior also need a declaration by their parent or guardian - see below.) Agree that the safety of any boat I enter in a race is the sole responsibility of the owner/person in charge, who must ensure that the boat and crew are adequate to face the conditions that may arise in the course of any race. Understand that the Sailing Instructions do not in any way limit or reduce the absolute responsibility of the owner/person in charge for the crew, the boat and her management. Accept that the race organisers shall not be responsible for any loss, damage, death or personal injury howsoever caused to the owner/person in charge or crew, as a result of their taking part in any race. Moreover, I warrant the suitability of any boat I enter in a race. Agree to abide by the Sailing Instructions of Port Edgar Yacht Club. Confirm that, before entering a boat in a race, I will correctly register its details with the Club. Will ensure that it carries insurance cover (including racing risks) of at least £2,000,000 and that this insurance will be valid whenever the boat participates in racing at PEYC. Undertake to carry out my allocated share of Race Officer duties. Also undertake to ensure that my regular race crew members take out an appropriate PEYC membership.
	By checking the box to the left you are declaring yourself to be the parent/guardian. As parent/guardian of the prospective member under the age of 18, I undertake that they will comply with the Club Rules. I confirm the details entered on this form and make the declaration on their behalf.