Join Us

Your details

Name *

First

Last

Date of Birth *

Required for our insurance.

Email *

Landline *

Mobile

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Please disclose any health problems or disabilities such as heart problems, diabetes, asthma and respiratory problems *

Can we correspond with you by email? *

Keep in touch

I want to receive club news, meeting minutes and other updates by email.

In case of emergency

Emergency Phone Number *

Emergency Contact Name *

First

Last

Relationship *

Your sailing skills

Relevant sailing skills *

Teaching

I am interested in passing on my skills
I am interested in learning new skills

Payment

Please tick one of the following: *

Full membership / Charity Membership
Friend of the C.H.A.
Single Day Sail

Full membership entitles you to participate in any sailing date; friends membership includes two sails on any sailing date.

Sailing date I am requesting a place on.

If you are joining the club for a day just to be able to sail on the Charles Henry Ashley, please let us know which sailing date you would like to join us on so that we can be ready to expect you. Please also make sure that every member of your party has filled in this form in their own right, for insurance purposes.

Total Amount

£ 0.00

Please select your payment method for your membership fee: *

BACS transfer
Cheque
Cash

We prefer payment by BACS transfer where possible. Our sort code is 40-08-26, our account number is 61149997. Please put your name in the reference field. If paying by cash or cheque, please give your membership fee to the Membership Secretary Sian Jones, Oriel Cemaes, 16 High Street, Cemaes Bay, Anglesey LL67 0HH. Please make cheques payable to "Clwb Cychod Cemaes CHA Cemaes Boat Club".

The legal bit

Holding of information *

I agree to the details on this form being held by Clwb Cychod Cemaes/Cemaes Boat Club, electronically and in paper format, for the purposes of maintaining membership records and subscriptions, and for the purpose of informing me about meetings, sailing, training and volunteering opportunities.
I agree to adhere to the constitution, codes of conduct and discipline of the club including all Health and Safety regulations and procedures.

GDPR Agreement *

I consent to having this website store my submitted information so they can respond to my inquiry. *

Cemaes Boat Club

Fill membership form in online

Your details

In case of emergency

Your sailing skills

Payment

The legal bit

The Club

The Boat

Contact Us