QCYC Membership Application

QUEENSCLIFF CRUISING YACHT CLUB

Application Form to Add Partner and Convert Existing Membership to Family Membership

Please complete this form online and click 'Submit'. There is no need to print the form.
Name of Existing Member *

First Name Last Name
Personal Details of Partner
Name *

First Name Last Name
Date of birth *

Day Month Year
Date
Address (if different from existing member's)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
example@example.com
Mobile *
Please enter a valid phone number.
Was applicant previously a member of QCYC? *

Yes No
When were they a member?
Does partner have an Australian Sailing number? *

Yes No Unsure
If uncertain, please confirm your Australian Sailing number by visiting

https://www.sailing.org.au/member-finder/
What is partner's Australian Sailing number? *
Has partner ever been asked to resign or been removed from another YC? *

Yes No
Enter name and date of birth for each child under 18 years old
eg John Smith, 01/01/2003
Should be Empty:

QUEENSCLIFF CRUISING YACHT CLUB