Applicants Information (please print clearly, forward by mail to Katy Molyneux per instructions noted below)

Name: …………….………………….. Home Phone: …………………………………………

Street Address: …………………… Work Phone: …………………………………………

City: …………………………    …….  Cell Phone: …………………………………………..

Postal Code: ……………………… Email: ………………………………………………..

Crew and Family Information ************************************

If family members or a regular crew mate will be joining you in using the Club please provide their names. If you have children under the age of 18 please indicate their ages.

Name: …………………… … Name: …………………………. Name: …………………………

Name: …………………… … Name: …………………………..Name: …………………………

Boat, Dolly & Trailer Information ********************************

Class of Sailboat: ……………………………………… Boat Dolly:    □ Yes □ No

Length: …………………………… Dolly Make & Colour: ……………………………….

Beam: ………………………………………………….. Boat Trailer:  □ Yes □ No

Sail Number: ………………… Trailer Make & Colour: ………………………………..

Name of Sailboat: ……………… Trailer License # ………………………………………

DOT Registration # ………………………………………………………………………………

Membership Responsibilities *************************************

OHCC is a self-help club that expects members to volunteer time and effort to help run events and maintain and improve the club’s buildings, grounds and equipment. Members are required to cut the grass on their boats’ berths including the driveways and common areas, and to keep their boats properly covered with the bow elevated to ensure that no standing water is present that might attract mosquito larvae. All members’ boats, covers, trailers, dollies, and any other personal property stored on the club’s grounds must be maintained in a state of good repair. During the sailing season all masts are to be stepped on members’ boats or stored on the mast rack. Failure to carry out these responsibilities will result in the club taking appropriate action, which may result in loss or non-renewal of membership.

 Volunteer Skills **************************************************

What skills can you provide to help maintain OHCC infrastructure and programs?

□ General Cleaning and Maintenance □ Photography &amp Videography

□ Gardening, Grass-cutting &Yard Work □ Accounting &amp Bookkeeping

□ Clubhouse / Sheds Repair &amp Maintenance □ Legal

□ Marine (OHCC Powerboats &amp Docks) □ Social Committee

□ Junior Sailing Program &amp Sailboat Rigging/Repairs

□ Writing and research   □ Membership Executive

□ Graphic Design □ OHCC Website &amp Internet

□ OHCC Executive Officers                  □ Other……………………………………

Donation to OHCC to Sponsor Kids enrolled in the Junior Sports Camp: ***************************************************

□ $50 □ $100 □ $200

Marine Permits ***************************************************

Pleasure Craft Operators Card                             □ Yes □ No

Toronto Port Authority Power Vessel Operators Permit      □ Yes □ No

Marine Radio Operator Permit                              □ Yes □ No

Insurance Coverage **********************************************

All members are required to have personal liability coverage on their boat and trailer in the amount of $1,000,000.00 and to confirm this insurance annually.

Insurance Company: ………………… Policy Number: …………………………………..

I certify that I have personal liability insurance coverage on my boat and trailer in the minimum amount of $1,000,000.00 and I hereby release the Outer Harbour Centreboard Club and its representatives of all responsibility for any theft or damage to my personal belongings or actions that may result in personal injury to myself, friends or family as a result of using club property or participation in club events.

Signature………………………………… Date: …………………………………………………..

2013 Schedule of Fees ********************************************

One Time Capital Development Fund Contribution

(Senior Membership Only)………………………$ 225.00 $ _____________

Annual Senior Membership Fee …………….. $ 150.00 $ _____________

Associate Membership Fee (no boat)  $ 150.00……….. $ _____________

Summer Dry Boat Storage……… # boats ____ X$ 150.00 $ _____________

Winter Dry Boat Storage…….. # boats ____ X  $ 85.00 $ _____________

Locker Rental…………………………..   $ 45.00 $ _____________

In Lieu of Volunteer Fee………………….   $ 200.00 $ _____________

Donation to Junior Sailing Program (Discretionary)…….. $ _____________

TOTAL 2013 FEES   $ _____________

Please make cheque payable to Outer Harbour Centreboard Club and remit payment along with this

completed application form to:

                                                            David and Katy Molyneux,

                                                            277 Woburn Road,

                                                            Toronto, Ontario

                                                            M5M 1L1

For further information please contact David or Katy Molyneux at 416 487-9572