Please ensure that you have read the Notes for Applicants before completing the form

* - required fields

*First Name:: * Surname:: DOB (if < 18)

* Contact e-Mail::

* Address::

* PostCode:::

Family Details::

Partner::

Child 1:: DOB::

Child 2:: DOB::

Child 3:: DOB::

Child 4:: DOB::

* Phone::

Mobile::

* Occupation::

* Sailing Experience::

Give details of years sailing and boats sailed

Sailing Qualifications:: Dinghy; yacht or powerboat

Previous Club(if any::

* How did you hear about the club

* Names of people known at club

If no one known, please state "none"

**Boats to be kept at The Club

Class:: Sail No::

Class: Sail No::

Class:: Sail No::

Class:: Sail No::

** See clause 8 of Notes

* Membership? Select your category from drop down Membership Type Family Adult Student/Junior Cadet Beach Member

Boat Fees @£42:00 ---No of Boats--- 1 2 3

Topper/Optimist/Sailboard

@£16:00 ---No of Boats--- 1 2 3

I agree to abide by the Rules of Loch Venachar Sailing Club Yes No

I have read the Notes for Applicants Yes