Northern Lights Sailing Club
Membership Application

We invite you to join our fun and adventure!

Print this application form, either after completing it on-screen or before filling it in by hand.
Send the completed application and your check - made out to "Northern Lights Sailing Club" - to:



Northern Lights Sailing Club
4616 Nine Mile Creek Parkway
Bloomington, MN 55437

Membership (check one):
Jan 1-Dec 31		Mid-Year: Sept 1-Dec 31
Individual	$30.00	Individual	$15.00
Dual-Same Address	$45.00	Dual	$30.00




Type or print your name and address:
Name
Dual Member Name
Street Apt.#
City State Zip Code
Work Phone Ext.
Home Phone
E-mail Address

We need volunteers to make NLSC work.
Click on any of the following to be added to duty rosters.
Click twice to undo a selection.

I Would Help:
Organize Trips
Organize Social Activities
Organize Meeting Activities
Serve on the Board
Create Newsletter
Other

I’m Interested In:
Learning to Sail
Racing
Cruising
Daysailing
Get Captain’s Certification
Other

My experience level:
Have Captain’s Certification
Own a Daysailer
Own a Cruising Sailboat
Have a USCG Captain’s License
Do not want name in roster
Other

Where did you hear about NLSC?

Signed:__________________________________ Date:____________


Disclaimer: By making application for, or attending any function arranged by Northern Lights Sailing Club (NLSC), I am fully cognizant of all risks of travel and arrangements for trips of this nature and fully disclaim, waive, and discharge NLSC, its officers, and members from any and all liability, claims, or responsibilities with regard to the proposed trip and arrangements made with respect thereto, even if caused by the negligence or purported negligence of NLSC, its officers, or members.