Member 1 - Name *

First Name

Last Name

Member 1 - Cell Phone *

(###)

###

####

Member 2 - Name (Partner/Spouse)

First Name

Last Name

Member 2 - Cell Phone

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Licenses

Please indicate, by selecting the appropriate box, if you have any of the following:

Ontario Pleasure Craft Operators Card

Marine VHF License

Toronto Harbour License

Membership of the Canadian Power Squadron

How do you rate your boating skill level? *

Expert

Experienced

Novice

None

Shore Power requirements *

* Supply over 30 amp is limited and may incur additional payment

None

30 Amp

50 Amp

Duration *

Full Season (April 15 to October 15)

Short Term 1: Up to One Month

Short Term 2: One to Two Months

Other

Policy Expiry Date *

MM

DD

YYYY

Volunteering *

The Club is a self help club. It has no permanent staff and runs purely on voluntary efforts by the Members. If you have any talents, skills or knowledge that would be useful to the Club and which you would be willing to offer in support please let us know. Even if you have none, there are many tasks around the Club which simply need a little time and effort and where your contributions will help. Please outline below one or more areas you can assist with at the club.

Dredging

Property Maintenance

Graphic Design and Marketing

Gardening

Pool Committee

Social Gatherings

Hosting a Mix and Mingle event

Clean Marine Committee

Recycling