Powell River Yacht Club Membership Application/Renewal Form
First Name
Last Name
Spouse or Partner First Name
Spouse or Partner Last Name
Child 1
Child 2
Child 3
Child 4
Address
City
Postal Code
Home phone
Email
Confirm email
Mobile phone
Boat Name
Power or Sail
Please Select
Power
Sail
Boat make
Boat length
I agree to have my contact information shared with club members, but not 3rd parties.
Yes
No
Interests
Multi-day Cruising
Please Select
I am interested in multi-day cruising
No,thanks.
Single day Cruising
Please Select
Yes
No
Keelboat Racing
Please Select
Skipper
Crew
Committee Boat
No,thanks
Race committee
Dinghy Sailing
Please Select
I would like to use club dinghies
I have friends/family who want to learn
I would like to assist the coaches
I would like to coach
I can help with equipment maintenance
Club Social Events
Please Select
Yes
No, thanks
I'd like to help out with social events
If you would like to donate funds to support the Youth Sailing Program or have a business that would like to partner with the club. Let us know.
Your comments and questions are welcome
Thank you! Remember to hit the 'Submit' button below.
Submit
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