2026 SCSC Membership Application

Name*

First NameLast NameSuffix
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
CellHomeWork
Email*
example@example.com
Physical Date (if applicable)

MonthDayYear
Date
Capsule Cert. Date (if applicable)

MonthDayYear
Date
Please upload physical and/or capsule certification (if applicable)

Cancelof
Signature

The undersigned hereby applies for membership in the Southern California Speedboat Club for the year 2025, ending 12/31/2025. SCSC reserves the right to restrict membership.

Membership Rates*

Annual Racing

Owner/Driver/Rider

$75.00

Annual Non-Racing

Crew/Staff/Official/Supporter

$25.00

Single Event

Note: Single Event participants must upgrade to an Annual membership within 30 days to retain High Points.

$30.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00