PLEASE MAIL TO: Carlyle Sailing Association Dan Haile, Vice Commodore 275 Eastbrook Dr Troy, MO 63379 Phone 636/528-0356 |
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APPLICANT INFORMATION (Please Print Clearly): Name ______________________________________Spouse__________________Date__________ Address __________________________________________________________________________ City__________________________________________State________ZIP_____________ Phone: (Home)_______________________________ (Work) ___________________________(Cell) ________________ E-Mail 1: _____________________________________________________________ E-Mail 2: ______________________________________________________________
SAILBOAT INFORMATION: Class or Type:______________________________Hull Color:________ Sail Number:____________ Illinois Registration Number: IL___________________________________ (All boats at CSA are required to have ILLINOIS registration) If not a "ONE-Design" class (Lightning, Flying Scot, Catalina 22, Hobie-16, etc.) supply the following data: Overall Length______________ Waterline Length________________ Weight/Displacement____________ Mast Height_________ Mainsail Area________ P_____ E_____ Jib Area _______ Rig: Masthead_____________________ Fractional__________________ Other (explain)______________
EVIDENCE OF INSURANCE: Each owner shall possess liability insurance to cover damage to other boats or injury to persons. Limits of liability shall be a minimum of $25,000 per individual, $50,000 aggregate and $10,000 property damage. Company_________________________________________ Policy # Expiration Date _______________
CSA membership includes a maintenance fee that may be adjusted annually. Season Space Renters (SSR) may work for credit towards the maintenance fee. That credit may be refunded at the end of the year or it may be credited to the next year's SSR fee. Please indicate if you are willing to work to offset the Maintenance Fee. YES _______ NO _______ If YES, please indicate your areas of interest or skills: Docks ____ Grounds____Buildings____Race Equip.(powerboat maint.) ______ Race Mgt _______ Legal ____Jr. Sailing____Publications ______ Advertising/Marketing____ Carpentry ____Plumbing ____ Electrical____Welding ____Computer Programming ___ Mechanical _____ Anything ______ Other Skills or Talent ________________________________________________________. |
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CSA MEMBERSHIP FEES: |
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Season Space Renter (SSR): May through October |
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Enter Season Space Renter Membership Fee: $________ | ||||||||||||||||||||||
Racing Associate (RA): | ||||||||||||||||||||||
Allows individuals who own a cabin boat based at another harbor to participate in CSA's Cabin Fleet race program, be scored and eligible for trophies, listed in the CSA directory, and receive the CSA monthly news letter. Applies to Cabin Fleet only and proof of insurance is required. Racing Associate fee: $75.00 | ||||||||||||||||||||||
Racing Associate Membership Fee ($75/year): $________ | ||||||||||||||||||||||
Mailing Associate (MA): | ||||||||||||||||||||||
Allows individuals who are not SSR's or RA's to participate in CSA social functions and Jr. Sailing, be listed in the CSA directory, and receive the monthly CSA newsletter. Mailing Associate fee: $35 | ||||||||||||||||||||||
Mailing Associate Membership Fee ($35/year): $________ | ||||||||||||||||||||||
Junior Associate: | ||||||||||||||||||||||
A junior associate is eligible to keep a Laser or Sunfish on CSA property and participate in the CSA racing program. Junior members must be 10 to 21 years old or until they graduate from college if a full time student. | ||||||||||||||||||||||
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Junior Associate Membership Fee: $________ | ||||||||||||||||||||||
Cabin Boat Waiting List: | ||||||||||||||||||||||
Membership applicants for the Cabin boat fleet will be put on a waiting list according to the date of receipt of a properly completed application for CSA membership and a $50 deposit. This deposit shall apply toward the first year's Season Space Renter membership. If the applicant withdraws his name from the waiting list, the $50 deposit may be refunded upon request. | ||||||||||||||||||||||
Cabin Boat Waiting List Deposit ($50): $________ | ||||||||||||||||||||||
CARLYLE LAKE ASSOCIATION (CLA) MEMBERSHIP: | ||||||||||||||||||||||
An organization dedicated to the interests of all to benefit sailing, power boating, farming, hunting, camping, and fishing. Carlyle Lake Association dues are $10/year. Membership is optional. | ||||||||||||||||||||||
Carlyle Lake Association Fee ($10/year): $________ | ||||||||||||||||||||||
UNITED STATES SAILING ASSOCIATION (USSA) MEMBERSHIP: | ||||||||||||||||||||||
CSA is a "Golden Anchor Club", therefore fees are reduced. Membership is optional. If joining or renewing, do you wish to receive the USSA Yearbook? Y______ N______ | ||||||||||||||||||||||
(Check One) New Membership ______ Renewal _______ | ||||||||||||||||||||||
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Show Amount to be Forwarded to USSA: $________ | ||||||||||||||||||||||
TOTAL AMOUNT ENCLOSED: $________ | ||||||||||||||||||||||
Make Checks payable to Carlyle Sailing Association | ||||||||||||||||||||||
FINE PRINT: I verify that the information on this form is correct and I own the boat(s) listed above. (Only ONE boat owner is permissible on CSA forms.) I will acquaint myself with the Carlyle Sailing Association Rule Book. I will abide by these rules. I will be responsible for the conduct of my guests on the premises. Further, I will not transfer, assign, loan or sub-lease my space to another person, and I will immediately notify the Vice Commodore if I permanently vacate my space. Signature: ____________________________________Date: ____________ | ||||||||||||||||||||||
