This form can be cut and pasted into a WORD document. A hard copy should be printed and signed and sent to the Membership Secretary as indicated below
If you have any queries you may wish to contact the membership secretary, Ian Downs, before completion
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Name: .................................................................
Address: ............................................................................
` ............................................................................
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Post Code: ........................................
Telephone: ........................................................
E-Mail : ...............................................................................................................................
Car Registration No(s): ....................................................................
Declaration by Member:
I am competent to handle the craft registered
I consent to the rules of the Association and agree to abide by them (Copies of the rules are available on request)
I understand that all users of the lake take full responsibility for their own safety
I am over 18 years of age (or, if under 18, will only use the lake under the supervision of a responsible adult)
I hold valid insurance which covers '3rd party' claims up to at least £1 million against any person authorized by me to sail a craft I have registered on the reservoir (Please note members do NOT require insurance to sail the club craft as they are covered by the Association's insurance)
I am happy to undertake routine duties to help run the club, as approved by the membership at the 2006 AGM
I agree to this information being stored on a computer
Signed: ............................................................... Date: .................................
Please complete (2 pages) and send , with your cheque made payable to 'Killington Sailing Association' to
Membership Secretary
Killington Sailing Association
22 Hill Street
Carnforth
Lancs LA5 9DY
Killington Sailing
Association
Application Form - 2012/13
Please note membership runs from 1st March for 12 months
New Members only
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JOINING FEE (includes cost of gate key and security pass card) £40 |
New + Existing Members
ANNUAL MEMBERSHIP Membership renewal- £80.00 Group renewal - £120.00 Unwaged or under 18 renewal - £25.00 |
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CRAFT FEES Canoe(s) @ £10 each Windsurfer(s) and single sail dinghy(ies) (Topper, Laser etc) @ £20.00 each Multi Sail dinghy(ies) @ £30.00 each |
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BERTH FEES Dinghy berth(s) at £45.00 each Please contact Dinghy Park Steward if you are requesting a new berth to ensure availability |
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TOTAL FEES |
Existing members only
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KSA Number
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Berth Number(s)
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