Application for Membership of the Club

Name: ________________________________________________________

 Address:_______________________________________________________

 Email Address (for newsletters, etc):________________________________

 Proposer: _________________________________________(Club Member)

 Seconder:_________________________________________(Club Member)

Activity in which you are interested: Social/Boating/Competition/Recreational Skiing

(please delete those not applicable)

 If you are a Water Skier, are you interested in representing the club in competitions, regardless of whether you belong to another club or not?   Yes/No (please delete one) 

Do you belong to another boat club or association? Yes/No.

 If yes which club or association? ____________________________________

 What is your type of boat?  ________________________________________

New members are required to pay an admission/set-up fee in addition to the annual membership subscription. The admission fee applies for the first year only.

 ADMISSION FEE:            $15.00 (one-off)          

Single Membership:         $30.00

Family Membership:         $35.00

Clubroom Key:                $15.00 (one–off)

 Total Enclosed:              $_________ (please make cheque payable to Lake Tekapo Power Boat

                                                         And Water Ski Club (Inc)

New members are required to make themselves conversant with Safety by-laws and also requirements of Motor Launch Regulations. Safety in the water is most important. In signing this application, you hereby agree to all the rules and regulations of the Lake Tekapo Power Boat and Water Ski Club (Inc):

Signature of Applicant:  ____________________________________________

Please post this application (with payment) to:   Scotty Jenkin, 32 Hill View Cres, Highfield, TIMARU 7910