Membership Application

Membership Application

Concord Yacht Club - Fort Loudon Lake, Tennessee
Applicant*

Legal First NameName You Go By (if different)Last Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
County of Primary Residence:
Occupation
Employer
Household Info
Spouse/Partner Name

Legal First NameName You Go By (if different)Last Name
Spouse/Partner Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Spouse/Partner Email
example@example.com
Spouse/Partner Occupation
Spouse/Partner Employer
Type of membership applied for:*

Active (This is the most common type)Young Active (Applicant and Spouse both under the age of 33)Student (At least 18 and enrolled full time at a higher education institution)
Applicant DOB

MonthDayYear
Date
Spouse DOB

MonthDayYear
Date
School you attend
Do you have children in your household under the age of 24 (they will be included in your membership at no additional cost)

YesNo

About You
What has led you to apply for CYC membership?*
Please briefly describe your previous sailing experience and your plans to further that experience.*
CYC Member Volunteer (Work Hour) Interests*

Race CommitteeSail CampAdult Learn-to-SailYouth ProgramsSocial Event HostClub Fleet Admin/TrainingCommunicationsClub LeadershipDock CaptainFinancial/AuditStrategic PlanningEvent ManagementFood & BeverageEducationWebsite/Social MediaNewsletterReservationsLibrary/ArchivesSecurity Systems/GateLandscaping/GroundsBuilding MaintenanceDock MaintenanceUT SailingSea ScoutsHigh School SailingCommunity OutreachElectrical (Licensed)HVAC (Licensed)Record KeepingGeneral Contractor (Licensed)Club Fleet MaintenanceGovernmental/Public RelationsGeneral AdministrativeCYC Merchandise Sales
Do you currently own a sailboat?*

YesNoLooking to Buy
Boat Manufacturer
Length
Registration #
Name
Sailing Interests*

RacingCruisingDaysailing

Payment of $25 application fee:

Application Fee

$25.00

Total

$0.00

Household Info