Membership Form ORDINARY MEMBER – Shearwater Yacht Club

Name(Required)

First Last

Date of Birth(Required)

Military Rank

Service Number

Pension Number

Spouse Partner

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Work Phone

Cell Phone(Required)

Place of Employment

Email(Required)

Membership Type(Required)

Regular Boat Owner

Price:

Regular Boat Owner Tax

$ 0.00 CAD

Regular Full Crewing

Price:

Regular Full Crewing Tax

$ 0.00 CAD

Regular Social

Price:

Regular Social Tax

$ 0.00 CAD

Regular Out of Port

Price:

Regular Out of Port Tax

$ 0.00 CAD

Regular Junior

Price:

Regular Junior Tax

$ 0.00 CAD

Regular Seasonal Crewing

Price:

Regular Seasonal Crewing

$ 0.00 CAD

Boat Information

Section only if a Boat Owner

Boat Name(Required)

Boat Make(Required)

Boat Colour(Required)

Boat Length(Required)

feet

Boat Beam(Required)

Beam in FEET (no inches)

Boat Draft(Required)

Draft in FEET (no inches)

Boat Displacement(Required)

In tonnes or pounds – used for launch and haulout

Boat Out of Water Storage(Required)

Cradle

Jack Stands

Trailer

Boating Fees

General Boating Fee(Required)

Keelboat or Powerboat

Boats under 16 feet

Keelboat or Powerboat at marina or mooring or a dry sailed boat

General Boating Fee

Price:

Keelboat or Powerboat (if at marina or anchor)

General Boating Fee Tax

$ 0.00 CAD

Summer location of boat(Required)

Marina Slip

Mooring

Dry Sail

Summer Storage

Marina base price

Price:

Marina Base Price Tax

$ 0.00 CAD

Marina Foot Cost (Required)

Price: $ 5.75 CAD

Use the UP and DOWN arrows to Enter feet as whole number. Glitch to enter it directly…

Marina per foot Tax

$ 0.00 CAD

Mooring

Price:

Mooring Tax

$ 0.00 CAD

Dry Sail

Price:

Dry Sail Tax

$ 0.00 CAD

Summer Storage

Price:

Summer Storage Tax

$ 0.00 CAD

Dry Sail under 16 feet

Price:

Boats that are dry sailed under 16 feet

Dry sail under 16 Tax

$ 0.00 CAD

Winter Storage

Winter Storage(Required)

Require Winter Storage over 16 feet

Require Winter Storage under 16 feet

No Winter Storage required

Winter Storage over 16 feet

Price:

Winter Storage Tax over 16 feet

$ 0.00 CAD

Winter Storage under 16 feet

Price:

Winter Storage Tax over 16 feet

$ 0.00 CAD

No Winter Storage Required

Price:

Boat Insurance

Membership applications for boat owners must be accompanied by a copy of boat insurance. Members’ policies must contain a minimum of $1,000,000 in liability insurance.

Insurance Company(Required)

Insurance Policy Number

Insurance Expiration Date(Required)

Insurance Agent Name

Insurance Agent Phone Number

Insurance policy upload

Accepted file types: pdf, Max. file size: 256 MB.

PDF only

Volunteering

Shearwater Yacht Club is a Self Help Organization. Members are expected to share the workload in maintaining and keeping the club and grounds clean. From time to time you may be asked to assist in work parties on various projects and general maintenance. There are many areas where you may be able to help your club. Please volunteer when and where you can. Be advised that the Vice Commodore closely monitors work party participation to assist in marina and mooring allocations.

Select Volunteer Areas(Required)

Marina and Moorings

House and Grounds

Social

Executive

Kitchen

Sail Training

Other

One or more areas that you can help

NOTE – IT IS THE MEMBERS RESPONSIBILITY TO READ, UNDERSTAND AND FOLLOW ALL RULES & REGULATIONS LAID OUT IN THE CLUB CONSTITUTION, BY LAWS AND HANDBOOK. COPIES AVAILABLE ON THE SYC WEBSITE OR FROM THE SYC OFFICE.

Gift Benevolent Fund

Price:

Gift Ben Fund Tax

$ 0.00 CAD

Burgee Purchase(Required)

Like to purchase a burgee

No burgee needed

Burgee

Price: $ 27.00 CAD

Enter the quantity of burgees you would like

Burgee Tax

$ 0.00 CAD

Shearwater Hat Purchase(Required)

Like to purchase hat(s)

No hats needed

Would you like to purchase Shearwater hats

Shearwater Hats

Price: $ 23.00 CAD

Enter the quantity of burgees you would like

Shearwater Hat Tax

$ 0.00 CAD

Sail Nova Scotia Fee

Price:

Fee paid to Sail Nova Scotia. This is a non taxable fee

Bar Levy

Price:

Bar Levy Seasonal Crewing

Price:

The following is a tabulation of what you owe based on all of your choices. This includes all applicable taxes.

Total

The amount above is the total fee that will be payable to Shearwater Yacht Club including all fee and taxes.

Payment Options(Required)

Pay by cash – in the office

You will send in a cheque – mail or at office

You will pay by debit or credit – in office

Payroll allotment – over 6 months – in office – See Pat! Date critical

Please check an option for how you would like to pay for your membership fees. If you would like a membership card, please speak to Pat in the office as they will only be made upon request.

You can either pay by check, cash, debit or credit card in person.

You can phone in a credit card.

You can mail your checks to Box 280, Shearwater, NS, B0J 3A0

Planned monthly deductions – you have to come into the office and to fill out the paperwork with all the forms to be completed by March 31

The next section of the form will enable you to sign and submit the form.

The following is summary of all of the choices you have made in this registration form.

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Waiver Details

Aquatic activities (boating, sailing, canoeing, kayaking, yacht, marina, etc.) _

Shearwater Yacht Club(name of club) CFB/Wing Shearwater Waiver of Liability, Assumption of Risks, and Indemnification Agreement

**A separate document must be signed by, or on behalf of, each participant.

Assumption of Risks:

a. I acknowledge that my attendance at or participation in this physical activity or event : Aquatic activities (boating, sailing, canoeing, kayaking, yacht, marina, etc.) CFB/Wing_Shearwater city, province) carries with it certain inherent risks and dangers that can not be eliminated regardless of the care taken to avoid injuries.

b. I acknowledge that the inherent risks associated with this activity/event include, but are not limited to: Being struck by or struck an object (rock, natural object, watercraft, etc.), being struck by lightning, being lost in unknown territory, sunburn, dehydration, hyperthermia or hypothermia, physical exertion up to heart attack, slip and fall, head injury, asphyxiation, choking, hanging, burn, allergy reaction to insect, chemical material and equipment, broken bone, sprain, cut and abrasion, encounter with domestic or wild animal, serious bodily injury such as permanent disability, paralysis or death, loss of eyesight and drowning.

c. I have read the foregoing and I understand the physical demands this activity/event presents and the inherent risks associated thereto and affirm that to the best of my knowledge, my physical condition (or that of my minor participant) is adequate for me (or my minor participant) to participate safely. My participation (or that of my minor) in or attendance at this activity/event is voluntary and by signing below I knowingly and completely assume the foregoing risks.

Waiver of Liability:

In consideration of my participation in or attendance at this activity or event, I, on behalf of myself, personal representatives, heirs, spouse, children or assigns, do hereby waive, release and forever discharge His Majesty the Kink, in Right of Canada, His officers, servants, agents, employees and members of His Canadian Forces, Staff of the Non-Public Funds and the Canadian Forces Personnel Support Agency, its officers, servants, agents and employees, from and against all claims and demands, loss, costs, damages, actions, causes of action, suits or other proceedings by whomsoever made, brought, or prosecuted in a manner, related to any loss, property damage, personal injury or death, resulting from, occasioned by or attributable in any way to my acts or omissions resulting from my participation in or attendance at this activity/event. Indemnification and Hold Harmless

I also hereby agree to indemnify and save harmless His Majesty the King in Right of Canada, His officers, servants, agents, employees and members of His Canadian Forces, Staff of the Non-Public Funds and the Canadian Forces Personnel Support Agency, its officers, servants, agents and employees, from and against all claims and demands, loss, costs, damages, actions, causes of action, suits or other proceedings by whomsoever made, brought, or prosecuted in a manner, related to any loss, property damage, personal injury or death, resulting from, occasioned by or attributable in any way to my acts or omissions resulting from my participation in or attendance at this activity/event.

Acknowledgment and Understanding I acknowledge having read this assumption of risks, waiver of liability and indemnity agreement, including the description of the inherent risks associated with the activity or event and understand that this Agreement is intended to be broad and all inclusive so as to preclude any claims and that I have the legal capacity to sign,

or if I am a minor, have discussed fully with my parent or guardian.

NOTE – IT IS THE MEMBERS RESPONSIBILITY TO READ, UNDERSTAND AND FOLLOW ALL RULES & REGULATIONS LAID OUT IN THE CLUB CONSTITUTION, BY LAWS AND HANDBOOK.

All fees are payable in advance and are to be included with application. The membership fee is non-refundable. However, members leaving the club prior to the end of sailing season may apply to the Office for a prorated refund of marina or mooring fees. There will be a 2% per month charge on accounts over 30 days in arrears. Please ask the SYC Club Administrator for a breakdown in costs.
By signing this application you agree to the following:
That the Shearwater Yacht Club will not, and can not be held liable for damage, loss or injury to persons or property, including during haul out, launch, winter storage, or at any other time on club property or while engaged in club-related activities;
That the SYC reserves the right to post club activity-related pictures, names of members and boats, and notices of various activities that take place throughout the year, via electronic and paper media. This information may include awards, recognition, advertising, events or any other club-related business; and
That I will maintain at least the minimum insurance coverage required by the Shearwater Yacht Club at all times when my vessel is at the club (on land or in the water) or is representing the Shearwater Yacht Club at yachting events (organized cruises, racing etc.)

I apply for membership and request the facilities as noted. By Selecting the Accept the Terms and Conditions of the Membership Application button, I am signing this application form.

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Todays Date you are signing(Required)

Please choose todays date that you are signing this form.

If this form is to be signed for a minor, we require a parent or guardian to come into the office and sign the actual waver form as it requires a witness.

2023 Ordinary Member SYC Membership Form

Boat Information

Boating Fees

Winter Storage

Boat Insurance

Volunteering

The amount above is the total fee that will be payable to Shearwater Yacht Club including all fee and taxes.

Waiver Details

NOTE – IT IS THE MEMBERS RESPONSIBILITY TO READ, UNDERSTAND AND FOLLOW ALL RULES & REGULATIONS LAID OUT IN THE CLUB CONSTITUTION, BY LAWS AND HANDBOOK.

I apply for membership and request the facilities as noted. By Selecting the Accept the Terms and Conditions of the Membership Application button, I am signing this application form.