Apply now to join PHCC

Your Details

Name *

Date Of Birth *

Street Address *

City *

Post Code *

Home Phone

Mobile Phone *

Email Address *

Trade or Profession *

Type of Membership required *

NOTE: Associate Membership is only open to current or ex-members of the club. If you are the latter please fill out the date you left and reason for leaving.

Date you left the boat club

Reason for leaving

Boat Details

Type of craft

MotorSailingOther

If other, please specify

Name of Vessel

Class

Length (M)

Beam (M)

Draft (M)

Type of keel

BilgeLiftingOther

If other, please specify

Is a mooring required? *

Is compound space required? *

Have you a Tender? *

Previous experience

Previous Clubs (If Any)

Other Relevant Information

Name

New Applicant

Proposed by (Name)

Seconded by (Name)

If an applicant has no Proposer or Seconder, A reference my be required. If this is the case please supply the information below for a suitable person who can supply one:

Name

Street Address

City

Post Code

Trade or Profession

Ex-Members

Ex-members who are applying for re-admission as full or associate embers do not require a proposer or Seconder as, under the rules of the club, they will only be re-admitted at the discretion of the club management committee, who's decision is final.

Declaration

DECLORATION

I/we fully understand that both the requirements to carry out night watch and work party duties, as well as insuring any craft I/we keep on the club premises or moorings against third party liability, are conditions of membership of the club. I also agree that should I be accepted as a member I will abide by these conditions and all other rules of the club.

NameWrite name to sign application form

Todays Date

Image upload *

No file chosen

Please upload a clear image of yourself here

Image upload

No file chosen

Please upload a clear image of the vessel you intend to bring to the club

PLEASE NOTE: We cannot accommodate fin keel vessels or catamarans.

Rule 5a PHCC RULES ISSUE 5 2017

Data Privacy Policy

PHCC is compliant with General Data Protection Requirements (GDPR). For full details, refer to the PHCC Data Privacy Policy Which is published on the club notice board in the club house.