APPLICATION FOR MEMBERSHIP OF TEESDALE S.C. Ltd.
Surname __________________________ Forename(s)_________________________
Address_______________________________________________________________
______________________________________________________________________
Post Code__________ Tel. No.________________ e-mail ________________________
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Family Members only. Forename of spouse/partner ________________________
Children's Names________________ _________________ _________________
Dates of Birth ________________ _________________ _________________
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Please give details of your craft even if you do not intend to store your craft at the club.
Dinghy Class/Windsurfer 1)__________________ 2)__________________
Boat Name ___________________ __________________
Sail Number ___________________ __________________
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TYPE OF MEMBERSHIP (please tick appropriate box)
Family……..…..
Single……………
Associate………..
Cadet ………….
Student/Unemployed/Senior Citizen…..
Group………….
Junior …...…..
No. of craft to be stored
at the club Summer…...…. Winter…...….
Group Members only *
No. of adults No.
of cadets
* Please also complete details of the group leader at the top of this page.
DECLARATION
I/we apply for membership of Teesdale Sailing Club Ltd on the understanding that, If elected, I/we will be bound by the Memorandum of Association and Rules/Bye-Laws of the Club. I/we appreciate that election to membership of the Club involves participation in tasks associated with the running of Teesdale Sailing Club, and I/we am/are prepared to undertake a share of this work.
I/we confirm that I/we am/are insured to sail, with personal liability cover to the minimum value of £3,000,000 for each and every boat/windsurfer/canoe that I/we may sail at the Club.
Though safety boat facilities are generally available, I/we understand that all sailing is undertaken at my/our own risk.
I/we enclose Standing order mandate/Bankers Order/cheque/PO/Cash for the sum of £_______ Instruments to be made payable to TEESDALE SAILING CLUB LTD.
Standing order mandate: Sort Code – 05-06-11, Account No – 14477981, Yorkshire Bank, Middlesbrough, Oxford Road. Please add in ‘Reference to be quoted field’ your name.
Signed ____________________________ Dated ______________________
Please send your completed Membership Form and Subscription Fee to:
Mr D Fowell
5 Ruskin Avenue
Middlesbrough
Cleveland
TS5 8PJ
Telephone: O1642 822460 
If you do not wish your
telephone number or address to be circulated to other club members please place
a tick in this box. 
Version 5