Membership Application - National Yacht Club

National Yacht Club

Member Login

First Name:*
Last Name:*
Date of Birth (MM/DD/YYYY):*		Date and timeToday
Address:*
Unit #:
City:*
Province:*
Postal Code:*
Residence Phone #:*		()-First three digitsSecond three digitsLast four digits
Cell Phone #:		()-First three digitsSecond three digitsLast four digits
Business Phone #:		()-First three digitsSecond three digitsLast four digits
E-mail:*
Would like to receive emails from the club:*		Yes No
		Club newsletters, bulletins, notices, event info, etc.
Employer:
Occupation:
Gate Access Card:*		Yes No
		Please note that there is an additional fee of $25 + HST for card purchase.
Car Licence Plate #:
Boating Resume:
		A brief resume of boating experience, certifications, other yacht club/social club affiliations or any other relevant information.
Membership Category:*

Please fill out the following questions if you would like to add a spousal member to your account. Please note this applies to SENIOR and SOCIAL membership applications ONLY.
First Name:
Last Name:
Date of Birth (MM/DD/YYYY):		Date and timeToday
Cell Phone #:		()-First three digitsSecond three digitsLast four digits
Business Phone #:		()-First three digitsSecond three digitsLast four digits
E-mail:
Would like to receive emails from the club:		Yes No
		Club newsletters, bulletins, notices, event info, etc.
Employer:
Occupation:
Gate Access Card:		Yes No
		Please note that there is an additional fee of $25 + HST for card purchase.
Car 2 Licence Plate # :

Please fill out the following questions if you are applying for OPTIMIST, JUNIOR or STUDENT memberships ONLY.
School:
Grade Level:

Parent/Guardian Information:
First Name:
Last Name:
Member Number:
Residence Phone #:		()-First three digitsSecond three digitsLast four digits
Cell Phone #:		()-First three digitsSecond three digitsLast four digits
Business Phone #:		()-First three digitsSecond three digitsLast four digits
Guarantees to pay for accounts:		Yes No

Storage Request:
		Please indicate what type of SUMMER dockage or storage type you are interested in for your vessel.
Vessel Name:
Vessel Make & Model:
Licence/Registration #:
Vessel Type:
Length Overall:
		Overall length must include all permanent bow and stern features (e.g. bow sprit, swim platform, davits, etc.)
Beam:
Draft:
Displacement:
Sail #:
Storage System:
		For WINTER storage or when storing your boat on land please indicate the storage type for your vessel.
Trailer Licence Plate #:
Picture of Vessel:		Upload file
		Please supply a recent JPG picture of the exterior and interior (if applicable) of your vessel.
Insurance Company:
Insurance Policy #:
Insurance Policy Expiry (MM/DD/YYYY):		Date and timeToday
Copy of Insurance:		Upload file
		Please provide a JPG or PDF copy proof of $200,000,000 liability insurance. A copy of a recent survey of your vessel may also be requested.

How did you hear about NYC?:*		Word of Mouth / Member Referral Online Search Boat Show Other
Reference 1:
Name:
Phone Number:		()-First three digitsSecond three digitsLast four digits
Reference 2:
Name:
Phone Number:		()-First three digitsSecond three digitsLast four digits
Reference 3:
Name:
Phone Number:		()-First three digitsSecond three digitsLast four digits

If this application is accepted, I agree to abide by the Constitution, By-Laws and Rules and Regulations of the Club. I agree to pay all Annual Dues, Assessments and Fees for service and accounts rendered by the Club within 30 days of invoice.
Accept?:*		Yes

Throughout the year members and staff may take photos of members participating in club activities. These photos are typically displayed on the club website, printed in the newsletter or may be included on Club public social media websites. I consent to the use of images of myself or my child as stated.
Accept?:*		Yes No

I intend to pay by:*		Online Bill Payment (not EFT) Cheque Cash
Cheques can be made out to "National Yacht Club" and mailed to: 1 Stadium Road, Toronto, ON, M5V 3H4. Contact the Club Office for online payment options.

I consent to, and accept this as written notice of the intention of National Yacht Club to obtain such factual and investigative information as permitted by law, pertaining to my credit background and subsequent credit experience, if applicable, and to retain such information for National Yacht Club’s confidential use. The office may contact you for additional information.
Accept?:*		Yes
I affirm that the information contained in this membership application is true and accurate.
Signature:*