Form

First name

Last name

Email*

Phone number

Boating Interests *

Do you have a valid boating safety certification? *

Select One

Yes

No

Boating Experience *

Current Boat Owner

Very Experienced

Somewhat Experienced

Novice

How did you find out about the club?*

Preferred Boating Time of Day

Morning

Afternoon

No preference

Depends on the specific boating activity

Occupation? *

Home Address? *

Second Home Address?

Number of Children / Ages*

Do you know any current members who you would be comfortable with us contacting as a referral? If yes, please provide names below.

Do you have any questions about the club?

Is there anything else you would like us to know about you?