NSA Membership Application/Renewal

Dues Payable By April 30
2024 Membership Application/Renewal
Membership Type*

Family Member renewal ($325) - use PDF form for initial membership application onlyAssociate Member application or renewal ($200) - no NSA mooring or voting rightsFlag Member renewal ($125) - no NSA mooring or voting rights
Member Name

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Co-member Name (on family membership)

First NameLast Name
Co-member Email Address
Co-member Phone Number
Please enter a valid phone number.
Children names (optional)
Permanent/Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Summer Address (only if different from permanent address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Family Member Volunteer Opportunities (must select at least one)*

GovernanceMembership CommitteeHouse Committee (buildings/grounds, docks/floats, boats)Race CommitteeSocial CommitteeJunior Sailing CommitteeCommunications Committee75th Anniversary CommitteeOther
Associate/Flag Member Volunteer Opportunities

House Committee (buildings/grounds, docks/floats, boats)Race CommiteeSocial CommitteeJunior Sailing CommitteeCommunications Committee75th Anniversary CommitteeOther
Wish to Participate in these Club Activities

Racing Events (requires sailboat info)Cruising Events (requires sailboat info)Interested in crewing for othersSocial Events
Mooring in Frost Fish Cove (family members only)*

I have already been assigned a specific NSA mooring (fee: $100/season. requires sailboat info)Please add me to the waiting list for a NSA mooring (requires sailboat info)No mooring needed
Sailboat Type*
Boat Class/Make
Boat Name*
Boat Length*
Boat Sail Number*
Racing Requirements

* Races are limited to single-hull sailboats between 12’ and 20’
* Pre-season Skipper’s Meeting (mandatory) includes Racing Rules review
Emergency Contact (for racing)
Emergency Contact Phone Number
Please enter a valid phone number.
Guidelines for Member Application/Renewal
* Applicant must be 18 years of age or older
* Skippers, crew, and friends of Namequoit Sailing are welcome to apply.
* Associate members may participate in all sailing, social, and other activities of the association, but may not hold office and have no voting rights
By signing below, you agree to hold Namequoit Sailing Association (NSA) harmless for any injury or damages incurred during your participation in any NSA-promoted events.
Member Signature*

Clear
Tax-deductible Donation to NSA (optional but encouraged)*
in USD
Total Amount Due
in USD
Payment Method*

Pay by credit card (preferred)Pay by check
Make check payable to "Namequoit Sailing Association" and send to:

Namequoit Sailing Association

P.O. Box 1851

Orleans, MA 02653
Membership is not active until confirmation of payment is received by NSA.

THANK YOU FOR YOUR CONTINUED SUPPORT OF NSA!

Dues Payable By April 30
QUESTIONS/HELP? Contact Membership Chair Gail Briere at gbriere330@gmail.com
Please verify that you are human*
Should be Empty:

2024 Membership Application/Renewal

Credit Card

THANK YOU FOR YOUR CONTINUED SUPPORT OF NSA!

Dues Payable By April 30