WEBSTER SAILING ASSOCIATION
MEMBERSHIP APPLICATION
WEBSITE VERSION
DATE__________________
NAME (print)________________________________ (signature)_________________________________________
SPOUSE / SIGNIFICANT OTHER_______________________________________
NAMES OF CHILDREN RESIDING WITH YOU, WITH AGES _________________________________________
ADDRESS_____________________________________________________________________________________
CITY_________________________________ STATE____________ ZIP CODE____________________________
TELEPHONE (home)________________________________ (work)______________________________________
E-MAIL ADDRESS(ES) _________________________________________________________________________
YOUR OCCUPATION_______________________________________________
WERE YOU REFERRED BY A WSA MEMBER? _____ IF YES, MEMBER’S NAME ______________________
HOW DID YOU HEAR ABOUT WSA?_____________________________________________________________
SAILBOAT(S) THAT YOU OWN: HULL: STORAGE PREFERENCE:
TYPE; LENGTH; MONO / MULTI; MOORING / DRY SAILING (ON SHORE)_____________________________________________________________________________________________
NUMBER OF YEARS OF SAILING EXPERIENCE___________________________
HAVE YOU TAKEN SAILING LESSONS? ___________ IF YES, WHERE?_______________________________
DO YOU HAVE ANY SAILBOAT RACING EXPERIENCE?___________________
ARE YOU INTERESTED IN RACING AT THIS TIME?_______________________
PLEASE GIVE ANY ADDITIONAL INFORMATION YOU WISH TO FURNISH:
C.
EACH MEMBER ACKNOWLEDGES THAT THE WEBSTER SAILING ASSOCIATION
ASSUMES NO RESPONSIBILITY OR LIABILITY FOR PERSONAL INJURY OR
PROPERTY DAMAGE WHILE ON WSA GROUNDS. INITIALS________________
PLEASE RETURN THIS APPLICATION TO:
JOE
AURELIO
SECRETARY WSA,
7 BICKNELL
DR. MENDON, MA 01756