form test | Woody Point Yacht Club

WPYC Membership Application

"*" indicates required fields

First name*

Last name*

Email*

Best Telephone Number*

Address*

Street Address City State Post Code Country

Is postal address different to above?

Postal Address (if same as above leave blank)

Address City State Postcode

Boat Name*

Design*

Length Overall (ft)*

Sail Number*

WPYC Number (if known)

Membership Category

All membership categories apart from Junior Membership include all the WPYC functions attendance cost. When sailing in WPYC events you are required to display the Burgee.

Membership type

Total

I hereby apply to become a member/renew my existing membership of the Woody Point Yacht Club Inc. In the event of my admission as a member, I agree to be bound by the rules of the association for the time being in force. Please note that the Woody Point Yacht Club Inc. has the discretion to accept or reject any application for membership.

INSURANCE DECLARATION
(must be completed to obtain membership and sail with the WPYC)

Insurance Company*

Policy Number*

Renewal Date*

Registered Boat Owner*

I submit that the details provided above are true and correct. I undertake NOT to enter into a race managed by or affiliated with the Woody Point Yacht Club unless I have a current insurance policy for the boat.

I wish to pay

Account Name: Woody Point Yacht Club
BSB: 082 294
Account No.: 50738-5261
Reference: Your Name & Boat Name

Disclaimer*
I agree have read and agree with the disclaimer.
DISCLAIMER AND ACKNOWLEDGEMENT OF RIGHTS FORM

The person who signs is filling out this application:

■ Is aware of Racing Rules of Sailing Fundamental Rule 4 (Decision to Race) which states: “The responsibility for a boat’s decision to participate in a race or to continue racing is hers alone”.

■ Acknowledges and accepts the risks (including the risk of harm to persons or property and the risks associated with the perils of the sea and the seaworthiness of any boat) associated with participation in races and events conducted by Woody Point Yacht Club and waives all rights against and releases Woody Point Yacht Club and their respective officers, employees, volunteers and members, from all liability in respect of any loss of life or injury to persons or loss of or damage to any property suffered in connection with such races and events.

■ Acknowledges and accepts that all sailing races conducted by Woody Point Yacht Club are subject to the Racing Rules of Sailing including the requirements of Rule 47 covering safety equipment and that all crew are to be briefed regarding the boat’s safety equipment with respect to its stowage, maintenance and operation.

■ Acknowledges that participation in races and events conducted by Woody Point Yacht Club by the boat nominated below and the person who signs this form is agreed to by Woody Point Yacht Club on the basis of this disclaimer and acknowledgement and on the basis that participation is entirely at the risk and responsibility of such person and each member of their crew and that Woody Point Yacht Club is not responsible for the boat or its crew.

■ Acknowledges and agrees that this document is governed by the laws of New South Wales, that any liability for harm to persons that results from any breach of an express or implied warranty that races and events conducted by Woody Point Yacht Club and all services relating thereto will be conducted or rendered with reasonable care and skill, is excluded and that the benefit of this document is held on trust by Woody Point Yacht Club for its officers, employees, volunteers and members.