CADBORO BAY SAILING ASSOCIATION ONLINE MEMBERSHIP APPLICATION FORM (2018)

Original digital painting courtesy of Suzanne Heron - "Cadboro Bay Dawn"
In #1 below please indicate your membership status - are you a current or a new member?
(1) Status *
(Answer required)
Personal Information
This form allows you to renew your CBSA membership for 2018 or to apply for new membership. With a club membership you can participate in CBSA races, activities and social events. Club members can also pay for boat storage space in the compound at Cadboro Bay (subject to availability).

- If you have any questions about membership, please email Cosmo Pessoa at:
membership@caddybay.ca.
- To inquire about boat storage, please email Ryan Boxem at:
storage@caddybay.ca.
- For any queries about this form, please email Art Hamilton at:
commodore@caddybay.ca.

(2) Family name *
(Answer required)
Your answer
(3) Given name *
(Answer required)
Your answer
In #4 below please repeat your name and include your street number, street, city, and postal code so we may generate a mailing label. Enter this information as you would like to see it on a label, e.g.,

Peter Scott
Trapeze Court
Victoria, BC
V8N 4G1

(4) Mailing address *
(Answer required)
Your answer
(5) Email address *
(Answer required)
Your answer
(6) Phone number *
(Answer required)
Your answer
(7) Spouse name
(Optional - to skip leave blank).
Your answer
(8) Spouse email
(Optional - to skip leave blank).
Your answer
(9) Spouse phone
(Optional - to skip leave blank).
Your answer
In #10 below please enter the names of any younger members in your family who are interested in sailing and would like to be listed in the Club.
(10) Other family
(Optional - to skip leave blank).
Your answer
To help the Club stay in touch please provide us with a back-up contact in #11 below. This is someone we would communicate with in the event we cannot reach you through the information you've provided above. Please include a NAME plus TELEPHONE NUMBER and/or EMAIL ADDRESS.
(11) Backup contact *
(Answer required)
Your answer
If you are a full-time K-12 or post-secondary student you are eligible for a Student Membership, for which the annual dues are $40. To apply, please indicate your institution and student number below (this information is required).
(12) Institution
(If not applicable leave blank)
Your answer
(13) Student #
(If not applicable leave blank)
Your answer
In #14 below please answer the following: Are you Coast Guard accredited (CG Accredited) to use the Club zodiac, i.e., do you have a Pleasure Craft Operator Card (PCOC) number? If ``Yes`` please record your PCOC number in #15 below.
(14) CG Accredited *
(Answer required)
(15) PCOC #
(If not applicable leave blank.)
Your answer
note
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