Membership Application
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Lakewood Yacht Club
2425 NASA Parkway-Seabrook, Texas 77586
Phone: 281/474-2511 Fax: 281/291-0890
www.lakewoodyachtclub.com
LYC NEW MEMBERSHIP APPLICATION
Completion of this form does not confer any rights to the use of the club facilities or membership privileges. Initiation fee check must accompany this application form.

All information will be considered personal and confidential.

*Required Fields

I. TYPE OF MEMBERSHIP
Select type of membership desired:


II. NEW MEMBER APPLICANT PERSONAL INFORMATION
First Name* 
Last Name* 
Email* 
Street Address* 
City* 
State* 
Zipcode* 
How long at current address?* 
Martial Status* 
Home Phone 
Cell Phone* 

III. BUSINESS/PROFESSION
Employer
Type of Business

Street Address

City
State
ZipCode
Work Phone
Work Fax
Work E-mail
Occupation/Title


IV. SPOUSE
First Name
Last Name
Cell Phone
E-mail
Employer
Type of Business
Street Address
City
State
ZipCode
Work Phone
Work Fax
Work E-mail
Occupation/Title

V. Children/Dependents (under 25 years)
Name

Birth Date
   
Name

Birth Date
   
Name

Birth Date
   
Name

Birth Date
   

In appox. 100 words:  How did you hear about Lakewood Yacht Club? Why do you want to be a member? Why will you be an asset to LYC?


VI. SOCIAL AND PROFESSIONAL AFFILIATIONS AND/OR OTHER CLUB AFFILIATIONS:



VII. INTEREST IN ACTIVITES/COMMITTEES:
 Sailing
 Power Boating
 Cruising
 Racing
 Tennis
 Entertainment
 Social Events
 Ladies Association
 Keels & Wheels
 Harvest Moon
 Youth Sailing
 Youth Activities
 Physical Fitness
 Singing/Choral Groups

VIII. LAKEWOOD YACHT CLUB FRIENDS AND/OR RELATIVES:
Name

Relationship

Address

Name

Relationship

Address

Name

Relationship

Address


IX. BOATING HISTORY
Do you own a boat?
No   Yes
How many years in boating?
Name of boat


Sail   Power
Length Overall

Manufacturer

Year of Boat

Where is your boat docked?

Do you contemplate the purchase of a boat at some future date?
No   Yes
Do you anticipate the need for a boat stall or slip at Lakewood Yacht Club?
No   Yes

If yes, approximate size
Approximate date
Will you live on-board your boat?
No   Yes


IMPORTANT: If you have a boat, the following information is required: Yacht Enrollment Form, proof of vessel liability insurance, minimum $500,000 and a copy of your federal Documentation or TX Registration as proof of ownership.  In addition, if you desire a boat slip or dry storage, a Request for Boat Slip or Request for Dry Storage form is needed. From time-to-time slips and/or dry storage space of a particular size or location may not be available immediately in which case your application will be placed on the waiting list for same.

NEW MEMBER APPLICANT AUTHORIZATION TO DISCLOSE AND RELEASE INFORMATION

I hereby authorize the disclosure and release of information to LAKEWOOD YACHT CLUB for the purposes of investigating my character, general reputation, personal characteristics, mode of living and financial condition.

I certify that, to the best of my knowledge, the foregoing information is correct. I understand that any misrepresentation shall be cause for denial for further consideration and, if after approval, misrepresentation is discovered, membership could be withdrawn.

If elected to membership, I agree to abide by the Bylaws, Rules and Policies of the Club as set forth by the membership and the Board of Directors.

I hereby give LAKEWOOD YACHT CLUB permission to use my photographs, video clips, audio clips, and any likeness of me for purposes of community outreach and promotion. I waive any proprietary rights I may have to my audiovisual media. I understand that the Membership Department may wish to use a likeness of me in a number of ways, including on Lakewood websites, social media posts, and/or advertising to provide information to the public and/or promote Lakewood programs and activities, and I grant them permission to do so.

Please forward photo via e-mail to: membership@lakewoodyachtclub.com

Electronic Signature* [Type Full Name]

Date*


                         

© Lakewood Yacht Club
2425 NASA Parkway Seabrook, Texas 77586 | Tel: (281) 474-2511 | Fax (281) 474-3502