St Kitts Yacht Club - Membership Registration

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Personal Information

Email *

What type of Member are you? (Adult Membership includes one free lesson/refresher sail) *

New Member (EC$200)

Returning Member (EC$200)

Social Membership (no vote or on water activities) (EC$150)

Corporate Member (EC$600) (Includes 3 adult memberships - Please list all three 3 names/Emails/Phone no's etc)

Child Member (no vote) (free)

Name of Member *

Additional Email

Address *

Phone number *

Gender?

Male

Female

Clear selection

Age? (required if under 18)

If Under 18, please list Name of Parent/Guardian and any additional Email, Phone Number if different from above.

If Company, please list Company Name, Phone Number and Email of Company and ask the two selected additional members to complete the form and sign under the same Company Name

Do you have any Health concerns, Allergies, or Dietary requirements we should be aware of?

Are you comfortable swimming 25', and treading water/floating for 1 minute? (Personal Flotation Devices will be worn at all times for water activities other than supervised swimming lessons)

I have read the Liability Release and Waiver Agreement below, fully understand its terms, and freely and voluntarily sign it. Please initial. *

Membership is valid once both form is completed AND payment has been made. I have made my Membership Payment via *

Direct deposit to Republic Acc #930251541824 on today's date

JAD Payment via link :" jad.cash/pay/101264349852 " on today's date

Cheque drop off at SKYC Container (small post box style opening on far right side next to the notice board)

Cash Payment to SKYC Treasurer, Myrtrice Sedam.

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