Eagle Creek Sailing Club

Application For New Membership

The undersigned hereby applies for membership, and agrees if accepted as a member, to abide by all By-Laws, Rules, and Regulations of the Eagle Creek Sailing Club and further agrees to pay all Fees and Dues applicable to such membership.

2021 Membership Fees (Select one initiation fee): *

Phase I $375.00 (age <25)

Phase II $750 (age 25-29)

Phase III $1,500.00 (age 30+)

OtherOther

(Click to add description)Legacy

2021 Membership Class (Select one) *

Lake Associate $90.00 (Home on EC Reservoir)

Race Fellow $110.00

Family/Regular Member $455.00

New Member Information

Note: Additional Fees are charged for Wet Slip (N/A) and Beach Parking ($50.00).
Note: Initiation Fee is not refundable.
Note: Membership expires at midnight, March 1, 2022 and may be renewed annually.

First Name: *

Last Name: *

Birth Year

Spouse/Domestic Partner First Name:

Spouse/Domestic Partner Last Name:

Birth Year

Address Line 1: *

Address Line 2:

City: *

State: *

Zip Code: *

Country: *

Please choose an option below: *

Yes, include my phone and email in the Club Directory.

No, do not include my phone and email in the Club Directory.

For Club Directory

Home Phone Number (if exists): *

Mobile Number:

Work Number:

Spouse/Domestic Partner Mobile Number:

Email Address: *

Spouse/Domestic Partner Email Address:

Occupation:

Employer:

Spouse/Domestic Partner Employer:

Spouse/Domestic Partner Occupation:

Child 1 First Name:

Child 1 Birth Year

Child 2 First Name:

Child 2 Birth Year

Child 3 First Name:

Child 3 Birth Year

Boat 1 Name:

Boat 1 Make:

Boat 1 Model:

Boat 1 IN Reg #:

Boat 1 Length in Feet:

Boat 2 Name:

Boat 2 Make:

Boat 2 Model:

Boat 2 IN Reg #:

Boat 2 Length in Feet:

Note: All co-owners of a boat must also be members of Eagle Creek Sailing Club.

Do you want to be added to the Wet Slip Wait List? Note: Race Fellows may not rent wet slips. *

Yes

No

Signature: *

Date: *

Total Due *

Make checks payable to:

Eagle Creek Sailing Club

Return to:
Perry Cameron, Membership Chairman
7078 Windridge Way
Brownsburg, IN 46112
317-294-0545
membership@ecsail.org

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