New Member Registration Form

Clear Lake Shores Yacht Club

Membership Application
Full Name*

First NameLast Name
Names of family members under this membership:
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
E-mail*
example@example.com
Do you own a boat?

YesNo
If Yes, tell us about her.
Are you willing to participate in at least one club gathering in the next year?

YesNo

Each membership includes 2 Polar Camel tumblers.

	Tumbler Style
Tumbler #1
Tumbler #2

Signature of Applicant:

Clear
Name of Member Sponsor:
Initial Membership Dues $250.00 - We'll contact you to make arrangements if paying with cash or check.*

Cash*Check - Made Payable to CLSYC*Venmo - Please submit your Venmo payment to our Venmo account @CLS-YachtClubCredit/Debit Card - We'll email you a payment link (Add $8.00 Transaction Fee).
Please verify that you are human*
Should be Empty: