Concord Yacht Club

Membership Application Please complete entire form.

FOR CYC USE ONLY Date Received _____________ Introduction ______________ Bond Number _____________ Orientation _______________

Name ____________________________________	Nickname __________________
Spouse ___________________________________	Nickname __________________
Address __________________________________	Telephone __________________
City _____________________________________	Zip _______________________
E-Mail ___________________________________
Children: Name and Birthdate ______________________________________________
_____________________________________________________________________
Previous Sailing Club(s) Affiliation __________________________________________
____________________________________________________________________

Sailboat Data:	Mfg ________________________	Length ____________________
	Sail No. _____________________	Aux Pwr __________________

Co-owner ______________________________________________

Interested in: Racing __________     Cruising __________     Day Sailing __________

Occupation ________________________ Employer _________________________

Spouse's Occup _____________________ Employer _________________________

Special Skills and Abilities ______________________________________________

___________________________________________________________________

Avocations __________________________________________________________

___________________________________________________________________

 

Return application to:	Bonnie McCormick 1512 Mont Cove Blvd Knoxville, TN 37922