Select one -
Phone Number (Mobile preferred)
Address (include postcode)
Date of Birth (ddmmyyyy)
Emergency Contact Name
Emergency Contact number
Do you have a boat license?
Do you have a First Aid Certificate?
The next bit is REALLY IMPORTANT. Please make ONE SELECTION.
I hereby apply for membership of the Lake Jindabyne Sailing Club Incorporated. In the event of my admission as a member, I agree to be bound by the Rules of the Association.
Thank you for submitting your application for membership of the Lake Jindabyne Sailing Club. You will receive an invoice for your membership fee via email in the next day or so.
OFFICE USE ONLY
Application APPROVED / DECLINED on ________________ by ____________________