2017 ESSA Membership Application
EASTERN SHORE SAILING ASSOCIATION
PO BOX 374
SALISBURY, MD 21803

To renew your ESSA membership or become an ESSA member, please complete this
application and return it to the address listed above, along with your membership fees.
All ESSA members will receive the ESSA newsletter, the TELLTALE, by email. Additional
racing application required for entering a racing boat.

Application Type *
Name *
Your answer
Spouse (Other) *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Home Phone or Mobile Phone *
Your answer
Email Address *
Your answer
ESSA Fleet *
Yacht Name *
Your answer
Sail Number *
Your answer
Make/Model *
Your answer
Length *
Your answer
Year *
Your answer
Home Berth *
Your answer
Available to Crew? *
Required
Membership Dues (check those that apply) *
Required
Total of Check Being Mailed? *
Your answer
Check Number
Your answer
DISCLAIMER: I agree to abide by the regulations and sailing instructions of ESSA. In consideration of being permitted to race in ESSA regattas, being knowledgeable of the risks of competitive sailing,and knowing that it is my sole responsibility to decide whether to enter or to continue a race, I voluntarily assume the risk of participation in the events and release ESSA and the people conducting the events from all liability in connection with any injury or damage that might occur. *
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