2012 Santa Rosa Sailing Club Membership Application

Name:

Address:

City:


Zip:


Home phone:

Cell phone:


Email addresses:

Boat #1 (Class, Name, Sail #)


Boat #2 (Class, Name, Sail #)



Boat #3 (Class, Name, Sail #)



Boat #4 (Class, Name, Sail #)

New

Renew


Reinstate

Which of the following committees would you like to participate in?

Racing

Cruising


Social


Regatta


Contact information is shared among club members to facilitate organization of events. If you would prefer that your contact information not be shared, please indicate here what information you do NOT want shared.

The Club newsletter is sent to members by email. If you want to receive a hard copy instead, please check here
, and add the surcharge shown below to your dues.

Please check here
to allow photographs of you and your family members (children) to be published on our web site.


Responsibility

It is the responsibility of each skipper to:

o Know the racing rules of sailing.

o Decide whether to race or not, in the prevailing conditions.

o Have the boat and crew prepared.


The responsibility for a boat's decision to participate in any sailing event or race or to continue racing is hers alone.


In consideration of accepting membership in the Santa Rosa Sailing Club, I hereby for myself, my heirs, executors and administrators, waive and release any and all rights to claim damages against the SRSC, or its officers, committee members, members, sailing site owners, employees, agents, representatives, or assignees, from any claim for injury or other damages while a member in good standing of the SRSC, or while participating in any SRSC event.



Membership dues for 2012:


Family (or single adult): $50.00

Single Youth (under 18): $15.00

Surcharge for postal mailings: $10.00



When you click the button below, your form will be sent to the Club, and you will be automatically redirected to the Club's Web Pay page.

If you wish to avoid the $1.80 convenience fee for credit cards, please send a check (traditional paper check or through your on-line bill pay) to:


Santa Rosa Sailing Club

P.O. Box 3184

Santa Rosa, CA 95402-3184