CYPREMORT YACHT CLUB
P.O. BOX 11407
NEW IBERIA, LA 70562
NAME:________________________________________________________________________AGE__________
SPOUSE'S FIRST
NAME:____________________AGE_____ HOME PHONE
_____________________
ADDRESS:____________________________________________________________________________
OCCUPATION:___________________________________BUSINESS
PHONE___________________ BUSINESS
ADDRESS____________________________________________________________
OTHER YACHT CLUB AFFILIATIONS (PAST &
PRESENT)__________________________________
CHILDREN NAME &
AGE:___________________________________________________________
E-MAIL
ADDRESS_________________________________________________________________
******************************************************************************
IN ACCORDANCE WITH THE BY-LAWS, YOU MUST
REGISTER YOUR BOAT (S):
SAILBOAT TYPE: SLOOP___KETCH/YAWL___ DAYSAILER___MULTI-HULL___BOARD
BOAT____
HULL COLOR AND
ACCENT STRIPE COLOR:_________________________________________
MANUFACTURER:___________________________MODEL:_______________YEAR:_______________
STATE OR COAST GUARD
REGISTRATION:___________________________SAIL NO:___________ AUXILIARY POWER TYPE
AND H.P. : INBOARD DIESEL______ INBOARD GAS____ OUTBOARD______
LOA:__________LWL:_______BEAM________
DRAFT:_______MAST HEIGHT ABOVE WATER_____ KEEL TYPE: SWING
KEEL:____FIXED_____ CENTER BOARD______RADIO CALL SIGN_________
____
SAIL INVENTORY (MARK
YES OR NO)
WORKING JIB (LESS THAN
110)_______________SPINNAKER_____________________________
NO. 3 GENOA(11
0%-130%)________________________CRUISINGSPINNAKER_________________
NO. 2 GENOA(130%
-150%)________________________STAYSAIL__________________________
NO.1
GENOA(151%---------)________________________
********************************************************************************************
POWERBOAT:
MANUFACTURER________________MODEL________________YEAR_______________________
STATE OR C.G. REGISTRATION
#:________________ENGINE(S) TYPE &H .P.______________ _____
H ULL TYPE AND
COLOR:____________________________________LENGTH:__________________
********************************************************************************************
ACTIVITY PREFERENCES: (A,B,C,)
CRUISING:________ SOCIALS:_________RACING__________
DO YOU WISH TO ENROLL YOUR CHILDREN IN THE JUNIOR
SAILING PROGRAM?___________
DO YOU WISH A DRY______ OR WET______ BOAT STORAGE SLIP ?
********************************************************************************************
DATE:________________
____________________________________________________________
APPLICANT'S SIGNATURE
RECOMMENDED
BY____________________________
CYC MEMBER