Name:_________________________________ Date of Birth: ______________
Spouse Name:___________________________ Date of Birth: ______________
Children:_______________________________ Dates of Birth:______________

_______________________________ ______________

_______________________________ ______________

Winter Address: _________________________ Phone: _________________
______________________________________
Summer Address: _________________________ Phone: _________________
______________________________________
E-mail address(s) and/ or FAX number ___________________________________
Mailing options: (please select one if you have more than one address)
_____ mail to winter address only
_____ mail to winter address Nov. 1 to May 1, summer May 1 to Nov. 1
_____ mail to winter address Sept. 1 to June 15, summer June 15 to Sept.1

Employer: ________________________________ Bus. Phone: _____________
Business Address: _______________________________________________
Spouse’s Employer: ________________________ Bus. Phone: _____________
Business Address: _______________________________________________

Please note schools attended, community activities, and hobbies for you, your spouse and your children.
____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

Please list family members who are or have been members.
____________________________________________________________
____________________________________________________________

I am a child of a current member ____yes, ____no.
Please list recreational boats that you own:
Power: Model ________________, length __________, name ________________________
Power: Model ________________, length __________, name ________________________
Sail: Design __________________, length __________, name ________________________
Sail: Design __________________, length __________, name ________________________

Please circle Yacht Club activities of interest to you:

Social/Parties	Swimming	Day Sailing	Racing	Building & Grounds
Sailing School	Swimming School	Cruising	RaceCommittee	Boating

Membership Fees

Membership category	Initiation 1	Dues	Total
Family Membership: married with or w/out dependents and single with dependents	$200	$500	$700
Junior Membership age 26-29 no dependents	$200	$250	$450
Single Membership: age 30 and over, unmarried with no dependents	$200	$375	$575
Senior Membership: 70 or over and 10 years continous membership	NA	$375	$375

**Fees subject to change December 1
1There will be no initiation fee for: a.) the immediate family of members in good standing (parents, children, grandchildren, brother, sister) or b.)former members rejoining.

I hereby make application for membership in the White Lake Yacht Club. Enclosed is a check for $100 as a deposit which is refundable upon request. Upon election to membership I will promptly pay the remainder of the intiaition fee and dues or withdraw my application in writing. If my application is accepted, I understand that my spouse (if any) and I shall have full rights and privileges of membership and I/we agree to abide by the Constitution, By-Laws and Rules of the White Lake Yacht Club.

Signature of Applicant: ___________________________________ Date: _____________

Proposing WLYC member: _______________________________________________________
A check for $100.00 must accompany this application.
Please send to P.O. Box 1, Whitehall, MI 49461

CLUB RECORD
Date received: ___________ Action of Membership Committee: ____ Elected ____ Not Elected
Applicant and Proposer notified on (date) ___________
Attest:______________________________________ Chairman, Membership Committee

2008WEB Application