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
Full Membership Application Form.

I/We wish to apply for Membership of the Club.

If accepted I/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.


Rowing Experience:_________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
If a Scull Owner, Name_____________________________________________________

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: __________________


(Please fill in the details required above and then bring to the office during business hours to calculate fees below)

Joining Fee (Family or Individual) $                including GST
Membership Fee (Family or Individual) $                including GST


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

________________________
$                
including GST