On-Line membership Application Membership Application Form If you are human, leave this field blank. Date Application Month * January - 0 February - 1 March- 2 April - 3 May - 4 June - 5 July - 6 August - 7 September - 0 October - 0 November- 0 December - 12 10 year life membership - 132 Surname * Full First Names * ID Number * Passport Number (If applicable) Age Group: * Junior 19 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70 to 79 >80 Pensioner Date of Birth * Shirt Size SMALL MEDIUM LARGE X LARGE XXLARGE Residential Address * Postal address ( if Different) Home Tel No: Work Tel No: Mobile Tel No: Email Address * Employer: Occupation: Address: Marital Status: MARRIED SINGLE DIVORCED If Married, wifes name: automatically included in your family membership Section Dependant Childrens Name automatically included in your family membership Age: 6 years 7 years 8 years 9 yeaars 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years Add Remove Type of Membership: * COVID Special Full membership 2021 - R 1700 Life Member ( 10 yr subs in advance) - R16500 Up Country Member (>100Km) - R1150 Student member ( (18 to 25 yr) - R295 Junior members <18 yr - R50 Please select January for app month on Life member. Pro rata Subs for the year: + WPDSAA Affiliation Total Due for the year. Previous Club(s) and Standing Boat Name: Type of Craft Ski Boat Rubber Duck Kayak Paddleski None Length in meters: Colour: Total HP Power ie 2 x 90 Boat Number Valid Boat Survey certificates. Yes No Valid Skippers ticket: Yes No RSC Radio Licence Yes No Experience at Sea None Less than 1 year 1 to 2 years 2 to 5 years 5 to 10 years More than 10 years I hereby undertake to abide by the Constitution of the Cape Boat and Ski Boat Club and understand that the termination of my membership can only occur according to the constitution of the Club. I understand that should my membership be approved it will be subject to a probation period of 3 months. I accept that yearly subscriptions are due by the 1st January yearly, and should I want to resign from the Club, my letter of resignation must reach the Club Secretary / Manager before the 31st December in any given year, or it will be assumed that I wish to continue my membership for the ensuing year, and that I will be liable for subscriptions for the following year. I declare that the information provided overleaf is true and correct in every aspect and understand that my membership will be terminated if this is found to be incorrect. A copy of the Constitution and Bylaws is available on the web site and has been read. I hereby agree that I have read and will abide to the conditions as presented above. NO APPLICATIONS WILL BE CONSIDERED UNLESS COMPLETED IN FULL AND ACCOMPANIED WITH PROOF OF PAYMENT AND AN ID PHOTOGRAPHS MUST BE ATTACHED. SEE BANKING DETAILS BELOW. Terms and conditions: * Accepted Full Name as Signature. (Parents if Applicant is a Minor): * Applicants ID Photo * Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 3MB Member Proposer: Enter" new member" if no proposer * Member Seconder: Enter" new member" if no proposer * Address and cell no. Address and cell no. All payments are to be made payable to: Standard Bank, Fish Hoek Branch Code: 03 600 09 Account. No: 072 125 861 Submit