Applicants Information (please print clearly, forward by mail to Doug Gordon 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 # …………………………………………………………………………………………………

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: …………………………………………………..

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

Pleasure Craft Operators Card                                                   □ Yes □ No

Toronto Port Authority Power Vessel Operators Permit           □ Yes □ No

Marine Radio Operator Permit                                                  □ Yes □ No                                                (Over)

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 assist the club with respect to our programs and also repair/maintenance

of our buildings, grounds and equipment?

□ Newsletter Editor or Assistant                               □ Building Maintenance/Repair

□ Writing and research                                               □ Committee Boats Maintenance/Repair

□ Graphic Design/Printing                                         □ Docks & Winches Maintenance/Repairs

□ Regatta Race Committee                                        □ Building and Grounds Cleaning

□ Jr. (Optimist) Sailing Program                                □ Website Design and Editing

□ Gardening, Grass-cutting &Grounds-keeping        □ Special Projects

□ Social Planning & Implementation                         □ Accounting, Legal & Insurance Advisors

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

2011 Schedule of Fees ***************************************************************

One Time Capital Development Fund Contribution

(Senior Membership Only)……………………………………………    $ 205.00 ……….. $ _____________

Annual Senior Membership Fee ………………………………………    $ 135.00 ……….. $ _____________

Associate Membership Fee (no boat) …………………………………   $ 135.00 ……….. $ _____________

Summer Dry Boat Storage……………………… # boats ____ X          $ 135.00 ……….. $ _____________

Winter Dry Boat Storage……………………….. # boats ____ X            $ 75.00 ……….. $ _____________

Locker Rental…………………………………………………………..   $ 40.00 ……….. $ _____________

TOTAL FEES                                                                                                                        $ _____________

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

completed application form to:

                                                            Doug Gordon,

                                                            429 Kingswood Road,

                                                            Toronto, Ontario

                                                            M4E 3P2

For further information please contact Doug Gordon at 416 694-8221