Application Form to join or renew membership of Killaloe Sailing Club

Membership Type*

Current Member Renewal

New Member Application

Lead Member Name*

First Last

Address*

Street Address Address Line 2 City County Eircode Country

Contact Number*

Email*

Membership Category*

Single (Must be age 18 or over)

Family

Family Membership Details (Adults)*

First Name

Last Name

List names of adult family members, apart from Lead Member

Family Membership Details (Juniors)*

First Name

Last Name

Date of Birth

List names & dates of birth of all junior family members

Do You Own a Boat?*

Yes

Boat Details*

Type of Boat

Boat Sticker No. (Admin only)

Sail Number

Add details of all boats

Boat Insurance Details*

Insurer

Policy No.

Expiry Date (dd/mm/yyyy)

Boat Insurance Confirmation*

I, the undersigned, declare that any boat owned or provided by me while parked or involved in any sailing activities at Killaloe Sailing Club Ltd has all appropriate insurance cover including, but not limited to, racing risk insurance cover, public liability and Third Party Indemnity of not less than €3,000,000.

Boat Owner's Signature*

(Where the boat is owned by persons other than this member, the owners signature is required. Parents signature is required if the owner is a Junior member.)

Are you willing to help with safety cover and/or assist with club activities and/or maintenance?*

Yes I can help

No I can't help currently

If you, or any family who are members of KSC, have a medical condition the club should be aware of, please give details below:

Indemnity*

I, the undersigned, hereby acknowledge and agree that participating in sailing and related activities at Killaloe Sailing Club Ltd has inherent risk, including risk of personal injury or loss of life. I understand these risks and hereby indemnify Killaloe Sailing Club Ltd, The company, its directors, officers, committee and volunteers from any and all liability or loss. I confirm that I have read and understood the club safety statement and standing orders governing the operation of the Club.

Member's Signature*

(Please discuss any Safety concerns you have with The Club Safety Officer or any committee Members)

GDPR Consent*

By ticking this box I/We agree to allow KSC to store my/our details. To allow contact for club activities, KSC agree to follow the GDPR guidelines as outlined on the Data Protection page.

Membership Fee Calculator

Membership Type*

Single Renewal With Development Levy (€145.00)

Family Renewal With Development Levy (€217.50)

Single New Member With Joining Fee (€205.00)

Family New Member With Joining Fee (€257.50)

No. of Boats for Parking Fee*

Club Boat Usage Fee (Current Members)*

Boat Usage Not Required

Yes to Boat Club Usage (€60.00)

Club Boat Usage Fee (New Members)*

Boat Usage Not Required

Yes to Boat Club Usage (€50.00)

Voluntary Development Levy (New Single Members)*

Voluntary Development Levy (New Family Members)*

Total