Membership Application - KPYC - Kittery Point Yacht Club

Applicant Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone *

Alternate Phone

Email *

Name of spouse or significant other

Children

Child's Name

Date of Birth

Interests *

Other Interests

Vessel Name

Type or Class

Mooring Location

Hull Color

Doc./Reg. No.

Reason for Joining *

Areas to Help Out *

Other Areas of Interest

Sponsor #1 Name *

Sponsor #1 Email *

Sponsor #1 How Known *

Sponsor #2 Name *

Sponsor #2 Email *

Address Email Club

Sponsor #2 How Known *

Yacht Club Affiliation

Yes
No

Club Name

Location

Status

Past
Present

Position

Digital Signature *

By checking this box, I hereby wish to apply for membership in the Kittery Point Yacht Club. If accepted, I agree to conform to the rules and regulations governing the operation of said club.

After submitting, please mail your first year’s dues to: Kittery Point Yacht Club, Treasurer PO Box 373 New Castle, NH 03854-0373 See the Membership Application Procedures for details.