Shelly Park Cruising Club

Member Application

Application for Membership

A joining fee of $375 is due with this application, and will be refunded in full if your application is not approved by the Committee. Please lodge the application fee directly to the Club’s bank account 02 0168 0020953 00. Applications will not be considered until the fee is received.

Prefix

First Name *

Last Name *

Email Address *

Phone *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Occupation *

Skill potentially useful to the Club *

Choose the one that appliesBoat OwnerPart (share) OwnerBuildingBuying

Boat Details

Boat Name *

Model

Designer

Boat Length (m)

Draft

Are you a member of another club?If yes, please specify the club name. If no, leave blank

Character References #1Also required for attaining membership, are two character references. Persons supplying a reference must be existing club members, or past members who maintain an affiliation with the club. Please contact the club captain or commodore if you do not have required references.

First Name *

Last Name *

Phone *

How long have you know the applicant? *

Character References #2Also required for attaining membership, are two character references. Persons supplying a reference must be existing club members, or past members who maintain an affiliation with the club. Please contact the club captain or commodore if you do not have required references.

First Name *

Last Name *

Phone *

How long have you know the applicant? *

Emergency Contact DetailsPlease list the best people to contact in the event of an emergency

First Name *

Last Name *

Phone *

Located in Auckland on the Whitford River in Cockle Bay

Shelly Park Cruising Club

Member Application

Application for Membership

Hall Outs

Moorings

Boating the way it once was