MEMBERSHIP APPLICATION / RENEWAL FORM

INCLUDING HOLD HARMLESS AGREEMENT

Surname: Forename:
Address:

 

Postcode:

Telephone No: Mobile No:
Email Address:
RYA certificate holder (please circle): YES NO
Craft Details
Make: Model:
Year: Colour:
Datatag No:
Insurance Details
Broker/Insurer:
Policy No: Expiry:
Vehicle Registration Details (Parking Permit Applicants)
(1) (2) (3)
I apply for membership to launch my watercraft from the Martello Bay Slipway, Clacton-on-Sea. I accept that if I am in contravention of local bylaws or rules concerning the use of the slipway my membership may be revoked. I undertake to ensure that a minimum  of 3rd Party Liability Insurance will be maintained to include provision for other users, water-skiers or towed water toys.
I confirm that I have read, understood and agree to be bound by the terms of the CLACTON WATERCRAFT CLUB rules. I believe that all terms and conditions relating to membership of the ABOVE CLUB are fair and reasonable. I acknowledge and confirm that participation in the Watercraft Sport is inherently dangerous and I am fully aware of the risks involved. CLACTON WATERCRAFT CLUB accepts no liability whatsoever of any nature which I may suffer as a result of my participation in Club Events and Activities. I (including my family and guests who have been made aware of and understand the nature of the sport), the undersigned, agree to hold harmless and irrevocably waive in perpetuity any claim(s) against the CLUB whatsoever by virtue of my membership and participation in Club Events and Activities.

Signature:

Date:

Please supply copies of:

to:

Clacton Watercraft Club
Insurance, Datatag registration form (new members only), Driving License (Tractor), A Passport Photo (new members only), One 1st Class Stamp and Membership Fee £85.00 (Please make cheques payable to Clacton Watercraft Club) P.O Box 9090
Marks Tey
Essex
CO6 1UN
 
     I
Office Use Only   Member No:                        Parking Permit No: