Club Membership Application Form

Carlingford Lough Yacht Club

ON-LINE MEMBERSHIP APPLICATION FORM . PLEASE SUBMIT ELECTRONICALLY ONLY. WE WILL BE IN CONTACT WITH YOU ON RECEIPT OF PAYMENT.
If you prefer, download, print, fill in and post the following form (with payment) to CLYC:
http://www.clyc.info/wp-content/uploads/2023/MembershipApplicationForm2023.pdf
1. APPLICANT'S NAME, ADDRESS etc:
Name*

GenderFirst NameLast Name
Address*

House Title

Street Address

TownState / Province

Post Code
Email

Confirmation Emailexample@example.com
Phone Number*
If this is a mobile phone, we will gate-register it for you
Date of Birth........... (if under 30 y)*

DayMonthYear
2. MEMBERSHIP CATEGORY
(For a list of membership categories, see HERE)
Category:*

£345 Family Sailing (1 or 2 parents & children under 18 on 1st January or full time students) Additionally ONE child who is under 30y on 1st January may be included£225 Single Sailing (Over 30y on 1st January)£160 Powerboat/Watersports (Can launch or park a powerboat, board or kayak)£145 Family Social£125 # Cadet 16-29 (Over 16y and under 30y or full time student on 1st January)£50 Junior Under 16 (Under 16y on 1st January)£75 ## Country Member (Full member of another RYA or ISA affiliated sailing club)£50 Single Social/Bridge
NB Only Single and Family Sailing members, Cadets and Juniors may park or launch SAILING boats.

Powerboat/Watersports members may park or launch a powerboat, board or kayak.
# (For Cadets) Full time student at:
## (For Country Members) Full sailing member in which RYA or ISA affiliated club:
3. DETAILS OF ALL OTHER PERSONS OVER 18:

...to be included in this Membership (NB this only applies to Family Membership) PLEASE NOTE THAT IN ADDITION TO CHILDREN OVER 18y WHO ARE IN FULL-TIME EDUCATION, ONE OTHER FAMILY MEMBER YOUNGER THAN 30y CAN BE INCLUDED, BUT MUST BE NAMED:
3.1 Name

GenderFirst NameLast Name
Full time student at:
Date of Birth........... (if under 30 y)

DayMonthYear
Initials indicating consent to use of images on-line or in print:
3.2 Name

GenderFirst NameLast Name
Full time student at:
Date of Birth........... (if under 30 y)

DayMonthYear
Initials indicating consent to use of images on-line or in print:
3.3 Name

GenderFirst NameLast Name
Full time student at:
Date of Birth........... (if under 30 y)

DayMonthYear
Initials indicating consent to use of images on-line or in print:
3.4 Name

GenderFirst NameLast Name
Full time student at:
Date of Birth........... (if under 30 y)

DayMonthYear
Initials indicating consent to use of images on-line or in print:
3.5 Name

GenderFirst NameLast Name
Full time student at:
Date of Birth........... (if under 30 y)

DayMonthYear
Initials indicating consent to use of images on-line or in print:
4. DETAILS OF ALL OTHER PERSONS UNDER 18:

...to be included in this Membership (NB this only applies to Family Membership)
4.1 Name

GenderFirst NameLast Name
Date of Birth

DayMonthYear
4.2 Name

GenderFirst NameLast Name
Date of Birth

DayMonthYear
4.3 Name

GenderFirst NameLast Name
Date of Birth

DayMonthYear
4.4 Name

GenderFirst NameLast Name
Date of Birth

DayMonthYear
4.5 Name

GenderFirst NameLast Name
Date of Birth

DayMonthYear
5. BOAT PARKING

Please select all boats to be parked in the Club grounds:
For a list of boat parking fees, see HERE
Please note that if a cruiser is being paid for, one tender can be parked FREE.

Please ensure you enter the FREE Tender as a parking sticker will not be issued if we don't know about your free Tender.
Add 1st boat:
Add 2nd boat:
Add 3rd boat:
Add 4th boat:
Total to Pay (in Pounds Sterling):
Please also see CLYC "Cruiser & Dinghy Park Rules" HERE
NUMBERED STICKERS WILL BE ISSUED FOR BOATS, TRAILERS AND TENDERS ON PAYMENT OF THE APPROPRIATE PARKING FEE. ONLY THOSE DISPAYING A VALID STICKER WILL BE ALLOWED TO PARK IN THE GROUNDS.
PLEASE ENSURE THAT YOUR STICKER IS VISIBLE AND NOT OBSCURED BY THE BOAT COVER.
UNPAID PARKING FEES FOR ANY ITEMS PARKED DURING PREVIOUS SEASONS MUST BE PAID NOW.
6. DECLARATION & CONSENT

6.1, 6.2 and 6.3 are required, while 6.4, 6.5 and 6.6 are discretionary. However, we will contact you if you are not happy to tick all boxes.
Our Data Privacy Policy can be found HERE
Please Tick:*

6.1 RULES: I agree to become a member and acknowledge the Constitution, Bylaws and other rules of Carlingford Lough Yacht Club.
Please Tick:*

6.2 INSURANCE: I declare that any equipment (boats, trailers, tenders etc) owned by me using any facilities of CLYC will be covered by a third party public liability policy (at least £2,000,000) and at no time while crafts or equipment are on CLYC property shall the policy be allowed to lapse.
Please Tick:*

6.3 DATA PROTECTION: I understand that the information I provide in this form will be used solely for dealing with me as a member of Carlingford Lough Yacht Club and that my data will be stored and used in accordance with this Policy.
Please Tick:*

6.4 DATA CONSENT: I consent to my data being shared on the Club's Register of Members' names, address, email and phone numbers and being displayed on a list of names and membership category of Members inside the Club.
Please Tick:*

6.5 IMAGE CONSENT: I consent to my images being used by the Club who may arrange for photographs or videos to be taken of Club activities and published on the CLYC website, social media or newspapers etc to promote the Club.
Please Tick:*

6.6 PARENTAL/GUARDIAN CONSENT (for children under 18): I consent to the use of my children's images being used for the purposes above.
7. PAYMENT
Please check your email address is correct as correspondence will be by email only.

Fees are payable via

Cheque (payable to CLYC) or Cash to:

Ian Finnegan, 3 Seafields Avenue, Warrenpoint, BT34 3XA

or

Electronic Funds Transfer (Sort Code 95-04-40, a/c no 91001051)

or

Direct Debit (we will send you a form for this if you haven't previously returned one). Please note that direct debit arrangements have to be complete before mid-January of the current year.
Please Indicate Payment Method:*

ChequeCashElectronic Funds TransferDirect Debit (See note above)
8. SIGNATURE (Electronic)

If you or the individuals listed above later wish to withdraw consent, please contact info@clyc.info. By agreeing to your images being used, you agree to assign any copyright or any other right of ownership of these images to the Club.
Signature of the Applicant, or the Applicant's Parent or Guardian*

Clear
Should be Empty:

Now create your own Jotform - It's free!Create your own Jotform

Carlingford Lough Yacht Club

1. APPLICANT'S NAME, ADDRESS etc:

3. DETAILS OF ALL OTHER PERSONS OVER 18:

4. DETAILS OF ALL OTHER PERSONS UNDER 18:

5. BOAT PARKING

6. DECLARATION & CONSENT

7. PAYMENT

8. SIGNATURE (Electronic)