Member Application

    * denotes a required field (Form Rev 1)

    Member Information

    *First Name

    *Last Name

    Middle Initial

    *Email

    *Street Address

    *City

    *State

    *Zip Code

    *Preferred Phone

    cellhomework

    Alternate Phone

    homecellwork

    Birthdate

    *Gender MaleFemalePrefer not to say

    Partner's Name (first last)

    Skills and Boating History

    Personal Skills (check all that apply)

    We welcome all people interested in boating, whether you own a boat or not. About a third of our members do not own a boat. If you currently own a boat is it (check all that apply)

    If you own a boat, what is the overall length?

    If you own a boat, what is your boat name?

    *Have you ever taken a boating safety course? YesNo

    *How did you hear about America's Boating Club Atlanta? (check all that apply)

    Club Affiliation

    Which of our club members most influenced you to join?

    *I understand that I am expected to contribute time, energy and skills to further the objectives of America's Boating Club Atlanta

    *Why are you interested in joining America's Boating Club Atlanta, or do you have comments or questions that we can answer?

    Payment

    America's Boating Club Atlanta will contact you regarding payment. We accept checks and Zelle.

    *Which type of membership?

    Scroll down to "Ready to Submit" Section if you are applying for Single Member. If applying for Family Unit Membership (more than one person, all in the same household and at the same address) complete the next section.

    Family Unit Membership
    First Additional Member

    First Name

    Last Name

    Email

    Birthdate

    Gender

    Second Additional Member

    First Name

    Last Name

    Email

    Birthdate

    Gender

    Third Additional Member

    First Name

    Last Name

    Email

    Birthdate

    Gender

    Do you have additional family members?

    If yes, the club membership committee will contact you for additional details.

    Ready to Submit

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