Island Cruising Club of Salcombe

Membership and Sailing Form

The Membership and sailing form is for:-

New Members
Change of contact details for existing members
Registration for training courses which includeds suplementry information.

* Mandatory Feild

For Membership Fees and bank payments, go to :- to https://www.islandcruisingclub.com/membership-and-fees

Form use. Membership/Sailing Coarse/Change in contact details

Membership No. (Existing Membership)

Title 1

First Name 1

Surname 1

Email 1

D.O.B 1

Title 2

Enter “None” if not appropriate

First Name 2

Enter “None” if not appropriate

Surname 2

Enter “None” if not appropriate

Email 2

Enter “None” if not appropriate

D.O.B 2

Enter “None” if not appropriate

Child Title 1

Enter “None” if not appropriate

Child First Name 1

Enter “None” if not appropriate

Child Surname 1

Enter “None” if not appropriate

Email Child 1

Enter “None” if not appropriate

D.B.O Child 1

Enter “None” if not appropriate

Child Title 2

Enter “None” if not appropriate

Child First Name 2

Enter “None” if not appropriate

Child Surname 2

Enter “None” if not appropriate

Email 4 Child 2

Enter “None” if not appropriate

D.O.B Child 2

Enter “None” if not appropriate

Member Type Required:- Single/Couple/Family/other/Island Spirit

Member Category Required:- Sailing/Social

Address 1

Address 2

Address 3

Address 4

Post Code

Home Tel. No

Mobile Tel. No.

RYA Qualifications Held

Emergency Contact Details :- Name

Emergency Contact Details:-Tel. No.

Emergency Contact Details:-email

The following entries are for training only and not required for membership but optional.

Course Start Date if booked

Course Required if booked

Any Medical conditions that could affect sailing/training for any member

Any food Allergies for any member

Food Allergies{summary}

Can you/all Swim 50 meters (Yes/No)

No. of years Sailing experience

No. of days sailing in last year

Emergency Contact Doctor:- Name

Emergency Contact Doctor:- Tel No

Your are signing to accept the Island Cruising Club Terms and Conditions. https://www.islandcruisingclub.com/island-cruising-club-conditions-and-membership

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Confirmation of Signature

Select to Confirm signature

Date (DD/MM/YY)