Become a Member - Vincentia Sailing Club

Membership Type

Membership Selection(Required)

Please select your membership type.

Family

Individual Adult

Individual Youth/ Student (over 18)

Family Social Only Member

Family

Price:

Individual Adult

Price:

Individual Youth/Student (over 18)

Price:

Family Social Only Member

Price:

Total

Personal Details

Adult 1(Required)

First Last

Adult 1 Date of Birth(Required)

Email(Required)

Phone(Required)

Adult 2

First Last

Adult 2 Date of Birth(Required)

Adult 2 Email(Required)

Phone

Name(Required)

First Last

Please add up to 6 family members

Name 1

First Last

Name 1 Date of Birth(Required)

Name 1 Email(Required)

Name 2

First Last

Name 2 Date of Birth(Required)

Name 2 Email(Required)

Name 3

First Last

Name 3 Date of Birth(Required)

Name 3 Email(Required)

Name 4

First Last

Name 4 Date of Birth(Required)

Name 4 Email(Required)

Name 5

First Last

Name 5 Date of Birth(Required)

Name 5 Email(Required)

Name 6

First Last

Name 6 Date of Birth(Required)

Name 6 Email(Required)

Contact Details

Address(Required)

Street Address City State Post Code

Boat Type & Insurance

Supply the following if it applies to you.

Boat Type & Insurance

Click/press the "PLUS" sign to add additional vessels two your membership.

Boat Type

Boat Name

Sail No.

Boat Insurer

Policy Number

Expiry Date

Boat Licence

Supply the following if it applies to you. If it does not apply to your application, simply skip it.

Boat Licence

Click/press the "PLUS" sign to add all applicable Boat Licence Numbers.

First and Last Name

Licence Number

Working with Children's Check

Supply the following if it applies to you. If it does not apply to your application, simply skip it.

Working with Children's Check

Click/press the "PLUS" sign to add all applicable Working With Children Check Numbers.

First and Last Name

WWCC Number

First Aid Certificates

Supply the following if it applies to you. If it does not apply to your application, simply skip it.

First Aid Certificate

Click/press the "PLUS" sign to add all applicable First Aid Certificates.

First and Last Name

Current Until

Comments

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Membership 2023-24

Membership Type

Personal Details

Contact Details

Boat Type & Insurance

Boat Licence

Working with Children's Check

First Aid Certificates

Acknowledgment

of country