application form

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Return to :
Membership Secretary
David Baines
1 New Cottages
Kislingbury Road
Rothersthorpe
Northampton
NN7 3JA
waterskicoach@davebains.co.uk
MEMBERSHIP APPLICATION FORM
Season 2014/2015
Annual Rejoining Procedure
1. The date for membership renewal is March 31st each year, if a renewal fee is not received by 31st of March
then you may be liable for the first year joining fee
2. The Membership Secretary will send out the new forms before end of January
3. Boat owning members will have their permits reserved until March 31st, after this date the permits become
available to new boat members or existing members who want to swap permits
4. If you have not received a response within two weeks of sending in your completed forms to the Membership
Secretary, you must contact him to see if your application has been received or possibly lost….
Surname
Forename
D.O.B.
Email
Please supply an email address
Please supply an email address
Main Applicant
Partner
1st Child
2nd Child
3rd Child
NA
NA
NA
Full Address of Main Applicant
House no./Street :Town County Post Code Telephone numbers HOME:
MOBILE
EMAIL - Please ensure you fill in the boxes above…
(please supply an email for each adult over 18, the email address is only used for sending membership renewals and any important news or
changes in relation to the club such as working parties or events)
** Please provide email address for all members over the age of 18. Your email address may be added to the club
website members list. Please tick box if you would NOT like your email address to be added to the list.
If My application is successful, I/we agree to abide by all the club rules and any amendments which may be deemed
necessary during the season and indemnify NWSC Ltd., and all its directors against any legal responsibility for any
accident caused in any way resulting in damage to persons or property whilst on land or water occupied by NWSC
Ltd. I understand as part of the application process I may be required to provide a current utility bill showing an
address for each adult over the age of 18 named on the membership form.
Signature of Applicant……………………………………………………
Date………………………
Reg. Company no. 2587184 Reg. Office 35-37 St Leonards Road, Northampton, NN4 9ZL
MEMBERSHIP FEES FOR 2014/2015 SEASON
Please tick type of Membership Required
SINGLE ADULT
JUNIOR
(for children up to and including the year of their 18th birthday)
STUDENT (in full time education, must provide a student union card)
FAMILY
(two ADULTS over 18yrs old and any number of children, of which the adults are parents
or guardians, up to and including the year of their 18th birthday or who are in full time education
and live at the same address)
RENEWAL FEES
ADDITIONAL FIRST YEAR ONLY FEES
Club Fees
family
Price
£400
Single Adult
£200
Student
Junior (under 19)
Boat Permit *
£125
£50
£50
BWSF
Qty
Amount
0
Price
£100
£50.00
£25.00
£25.00
£20.00
Qty
**
Family
Single Adult
Student
Junior
Amount
B
£89
£52
£26
£20
Total
Total
A
-
Joining Fees
Family
Single Adult
Student
Junior (under 19)
Key Fee
A
B
Less working
parties
Grand Total
* Boat Permit – additional fee for boat time slots, only applies to boat owner membership
** BWSF – NB this is compulsory, if you are already a member a valid BWSF card must be submitted with
our membership in order for the membership to be accepted, membership will expire when
your BWSF expires so a renewed card would be needed in order to continue membership
Please enclose cheque made payable to NWSC Ltd (funds need to be received prior to 28th February)
ALL FEES ARE NON REFUNDABLE
All required items must be submitted with this application form or the application will be returned unprocessed.
WORKING PARTIES
Occasionally working parties are necessary and scheduled to maintain the clubhouse and grounds, they are run on a
volunteer basis and each working party attended will entitle you to £25 off your next membership. Working parties
are notified via email to request volunteers, each attendee will receive a sticker on the day which needs to be attached
to the next membership renewal form for your discount.
Reg. Company no. 2587184 Reg. Office 35-37 St Leonards Road, Northampton, NN4 9ZL
BOAT TEST
All Boats must attend and pass a boat test annually, tests are carried out at the lake with a club member authorised to
perform the test, drivers will also be given a refresher on guidelines for driving on the lake
BOAT TEST DATE for 2015
We are initially just offering one boat test date this year of Sunday 12th of April, however a second date may be rolled
out after this if there are enough people who can’t make this date, its later on this year to avoid clashing with the bank
holiday, committee members volunteer their time on both dates to facilitate the tests. The two designated dates are
free of charge and part of your membership, a fee of £20 may be charged for a boat test on an unscheduled date.
Please indicate your preferred date and time below, an email confirmation will be sent at the end of March.
10am
11am
Noon
1pm
Sunday April 12th
There is a limit of 25 boats in the club, membership is awarded on a first come first served basis, please refer to the
website www.nwsc.org.uk for current boat size limitations.
ALL FEES ARE NON REFUNDABLE
The Following extracts from the club rules apply:1. One boat only may be operated on a permit (non transferable)
2. BWSF approved boat insurance scheme GJW only must be used. Minimum cover of £2,000,000 third party
risk (including third party risk for skiers being towed) required on all boats.
3. Boat operators will abide by all safety rules instigated by the Club Committee
4. Any member violating the above extract of rules, or rules made by the club may not only jeopardise the
existence of the club, but may find themselves liable to expulsion from the club and forfeit any fees they may
have paid to the club.
5. I hereby indemnify NWSC Ltd and all its directors against any legal responsibility for any accident caused in
any way resulting in damage to persons or property whilst on land or water occupied by NWSC Ltd
(I have read the above extracts from the club rules, understand and will abide by them
Signature of applicant…………………………………………… Date……………………..
BOAT PERMIT APPLICATION for SEASON 2014/2015
Boat Make & Model ……………………………………. Boat Length ……………………………..
Insurance Policy Number…………………………………………
PLEASE TICK TWO SESSIONS YOU PREFER – one weekend and one weekday (subject to availability)
Permits will be re-issued after April 1st – existing members can retain their existing slots
Monday
Tuesday
Wednesday Thursday
Friday
13.00 -16.45
16.45 -Dusk
Saturday
Sunday
Lake closed
Lake closed
Please enclose photocopies of your Boat Insurance and current BWSF Members Card (Proves SBDA Holder)
Reg. Company no. 2587184 Reg. Office 35-37 St Leonards Road, Northampton, NN4 9ZL
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