Date

Last Name

      First Name   & Spouse

      In household children    

Home Address:

      Street

         City     State     Zip

      Phone     Email

Local Address (if not same as above):

      Street

         City     State     Zip

      Phone    Email

Business Address:

      Name

      Street

         City     State     Zip

      Phone    Email

Please list make, length and names of all boats in your possession

Please indicate any special interests you may have.

  Power Sail Cruising Racing Keel Boats Board Boats

  Day Sailing Improving Skills Partying

Would you be interested in serving on a committee yes
    Serving on a committee or becoming involved with club chores is a 
     superb way to become aquatinted with other members and increase 
     the pleasure of you club experience. When called upon to accept a chore,
     please say yes.

Sponsor (must be member in good standing)

Membership category (select one):

Select a Category Family Resident Individual Resident Family Non Resident Individual Non Resident Junior or College

NOTE: Membership is subject to receipt of check for initiation fee plus prorated annual dues and APPROVAL by the Rockport Yacht Club Membership Committee.  You may mail your check to the address shown on the "Home" page.