Membership Application
Complete the form below, using the TAB key to move from field to field. Please be as complete as possible. Click on Submit and your information will be forwarded to the Club Secretary for processing.
Welcome Aboard
 
NOTE: Fields marked with an "*" required Thank you for your interest in Safe Boating

 

Sign up Form for Cruises, Ashore Trips, Daytrippers and "Other Events"

Note: for Daytripper or Events, only complete Name, email, phone and date

Name:             Email Address:   
Event of interest:              Boat Name:          
Boat Length:                     

Boat Width:            

Power Requirement:    

Phone contact:     

When finished, please click on SUBMIT

Today's Date:       

(mm/dd/yyyy)