Please Fill Out the Form Below

Boat Club Primary Location(Required)

Name(Required)

First Last

Email(Required)

Phone(Required)

Boat Club Package:(Required)

I would like to split the boat club membership, initiation fee and annual dues with another party:(Required)

Full Name of Split Member(Required)

First Last

Split member's email address:(Required)

Billing Preference for Annual Dues:(Required)

Add Additional Family Members

*If you are the only person on your boat club contract, please skip the next section and sign the bottom of the document.

If you would like to add immediate family member(s) over the age of 25 years old to your contract, please add in the required information below. We ask that all additional members are added at the start of your contract.

PLEASE FILL IN ALL BOXES FOR EACH ADDITIONAL MEMBER
WE ALLOW UP TO 3 ADDITIONAL MEMBERS WITH NO ADDITIONAL COST.
IF YOU WOULD LIKE TO ADD MORE ADDITIONAL MEMBERS FOR A FEE, PLEASE REACH OUT TO US.

Additional Family Member #1

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Additional Family Member #1

Name(Required)

First Last

Relation to Primary Member(Required)

Email(Required)

Phone(Required)

Additional Family Member #2

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Additional Family Member #2

Name(Required)

First Last

Relation to Primary Member(Required)

Email(Required)

Phone(Required)

Additional Family Member #3

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Additional Family Member #3

Name(Required)

First Last

Relation to Primary Member(Required)

Email(Required)

Phone(Required)

By entering your name (first & last) you verify that all information above is accurate(Required)

Please review all your information before signing.

Date Signed(Required)

Select Today's Date