Skip to form

Derwent Sailing Squadron

admin2@dssinc.org.au

Form Section 1
image

Membership Application Form

Fill out the below form to apply for membership.

Applicant

Contact Details

Are you happy to receive electronic newsletters and accounts *

Emergency Contact

Proposers

Proposer
Seconder

Note: The Proposer and Seconder must be a financial member of the Squadron. Please contact them to come into the Squadron office to sign this form before it can be presented to the Board for approval.

If you do not know two members please send two letters of reference from referees who have known you for at least five years to admin2@dssinc.org.au.

Other Information

Complete for Family Membership only

Signature

I hereby apply for membership of the Derwent Sailing Squadron and if my application is successful, I agree to be governed by the Squadron's Constitution, Bylaws and Policies and declare the information provided on this form is true and correct in every particular.

Sign Here *