Please print the application below and fill in the information. Mail the completed application enclosing a check or money order to:
You will receive an email indicating that we have received your application within a week and what your likely status will be. Once your membership is accepted, you will receive additional documentation and a membership card in the mail along with several other pieces of information. Questions? Email us!
MEMBERSHIP Record Form Referred by IYC member _____________________ or Website Application
Name: ______________________________________ Spouse’s Name: ____________________________
Applicant’s Birth Date:_________________________ Spouse's Birth Date:_________________________
Address: ________________________________________________________________________________________
Phone-Home (____) ____________________ Work (____) ____________________________
Email Address: ________________________________________________________________
Children under age 21 - Name, Month , Day & Year of Birth: _______________________________________________________________________________________________
_______________________________________________________________________________________________
Employer (Optional)_________________________________ Address _______________________________________
Job Title or Duties ________________________________________________________________________________
Special Skills / Hobbies /Interests_____________________________________________________________________
Type of Boat(s) Owned & Size (if any)_________________________________________________________________
In consideration of my acceptance as a member(s) of the Illiana Yacht Club I/we agree to abide the rules and by-laws of the club. I/we understand that membership entails a commitment of service time and effort on my/our part in the support of Club maintenance, facilities and functions, each member contributes his/her fair share. I/we further agree that sixty (60) days after my membership terminates, for any reason, the Board of Governors is authorized to dispose of any of my/our property remaining on the Club premises as they see fit and for the benefit of the Club with no responsibility to account to me/us. I/we also agree to assume all liability for any guests I/we may bring to the IYC grounds and to hold harmless IYC, Inc. from any damages that may arise from said guests activities and I/we assume all responsibility for any damage or harm said guest(s) may incur while on the club premises. Upon acceptance as a member you will be required to sign a liability waiver.
Date ___________________ Signed ____________________________________
Additional Signature if required (Spouse - Parent/Guardian Signed ____________________________________
NOTE: Parent/Guardian signature required if applicant is under 18 year
Date received by committee____________________ Membership Chairman _________________________
Date new member furnished : Copy of By-Laws and Rules: ______________ Membership Card ______________________________________________________________________________________________________________________