NOOSA YACHT & ROWING CLUB INC.
ABN 26 196 554 353 Chaplin Park , Gympie Terrace, Noosaville
P.O BOX 49 , TEWANTIN QLD 4565
PH: 5449-8602 or 5440-7440 Fax: 5474-1109
www.nyrc.com.au
email: info@nyrc.com.au
Family Membership Application Form.

We, being a Family under the terms of the Rules of this Club, wish to apply for Family Membership of this Club .

If accepted We agree to abide by the Rules of the Club, and such Directives of the Management Committee as are promulgated from time to time.

PLEASE PRINT ALL DETAILS

Names:    ____________________________________________________________________
Address: ____________________________________________________________________                 ____________________________________________________________________
Postcode   _______________
Phone: (       ) _________________________________
Mobile :_______________________________________
Birth Date(s) (Optional): _________________________________________________________
Email: ___________________________________________
Occupation:_______________________________________
Children's names and ages_______________________________________________________
NOTE: Children shall be admitted on our premises only in the company of at least one parent or adult guardian who shall be responsible for their safety and welfare, who shall ensure that their conduct is such as not to interfere with the peaceable enjoyment of members and that the children keep clear of the bar area.



Sailing Experience:___________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
 If a Boat Owner, (Power or Sail) Boat Name_______________________________________________
Sailing Class:___________________________Length:_____________. Hull Colour:_____________
Sail Number:_______________.Sail Colour:_________________.Modifications:_________________

Proposer (please print then sign):________________________________________Card No:__________

Seconder (Please print then sign):_______________________________________Card No:__________
(Proposer and seconder must be in good standing (financial) with the Club)

I have met the applicant(s):_____________________________________________(Committee Member)

Signature(s) of Applicant(s): ______________________________   _______________________________

Date: __________________

Joining Fee (Family)     (one time only fee) $165.00 including GST
Membership Fee (Family) $150.00 including GST


Amount Paid
(If application not accepted this will be refunded)

_____________________
$315.00 including GST

PLEASE EITHER HAND THE COMPLETED FORM TO THE OFFICE OR DUTY MANAGER OR MAIL WITH FEE TO P.O BOX 49 , TEWANTIN, QLD 4565