Parklawn Sailing Association
New Member Form
Jan 7, 2009

Make checks payable to: Parklawn Sailing Association, Inc. and mail this completed application and signed Waiver Form with payment to:

Parklawn Sailing Association, Inc.
P. O. Box 9135
Gaithersburg, MD 20898-9135

Questions? Comments? Email them to PSADropBox@gmail.com

Application for Membership

     

     Name: _____________________________________  Date: ______________


     E-Mail Address:____________________________________

     (We use a Yahoogroups.com e-mail mailing list to distribute information.)

     
     Work Address:  

     ____________________________________________________________

     ____________________________________________________________


     Home Address: 

     ____________________________________________________________

     ____________________________________________________________


     Work Phone/Extension:______________  Home Phone:_________________

     Cell Phone: __________________

     (Note: All phone numbers you provide will be listed in the membership roster.)
     
 
     Circle the fees that apply for your application and pay the total 
     determined below.

     A.  Membership Fee Determination:


     1.  New Member Packages, indicate choice:                   $ 630 

     ___ Novice sailor:  Includes initiation, membership, 
         maintenance and 2 days on-the-water training

     ___ Experienced: Includes initiation, membership, maintenance     
         and on-the-water orientation & check-out as a PSA skipper


     2.  Renewing Member:  (Annual membership)                  $  315	

           SAVE $63! Renew for $252 if paid before Jan 1.  
									         		 

     3.  Annual Maintenance Fee (or reduced by maintenance       $ 150
         coupons earned, worth $50 each)


     4.  Associate Membership (member, but with no scheduling          
         privileges)                                             $  10


     B.  Early Training Class Reservations:


     1.  On-the-water training classes, 2 days for associate members 
         who are related to a member.                             $ 60


     2.  Skills training: $30/day each (indicate choice), scheduled as 
         needed                          Skill Classes   =     $ ____


     ____ Refresher Training ____ Spinnaker Handling ____Diesel Engine


     ____ Checkouts          ____ Advanced Docking               


                                                Amount Enclosed $ ____

          


    
 
 New Membership Survey ... Attach additional sheets, if necessary

     

     1.   PSA needs experienced skippers to assist novice students to 
     fulfill their cruising needs in preparation for qualifying as 
     skippers on the PSA sailboats.  

     Would you be willing to assist as the experienced skipper 
     for a novice crew?              

                                Yes     No      Maybe


     2.  Are you interested in racing on a regular basis?              

                                Yes     No      Maybe


     3.  Do you have special skills which could be applied to 
     maintenance and repair on our sailboats? (For example:  woodworking, 
     fiberglassing, electrical repair, plumbing, motor repair.) If so, 
     list them.

     

     4.  Would you like to skipper for a 2 to 3 day cruise?            

                                Yes     No      Maybe


     5.  Would you like to crew for a 2 to 3 day cruise?               

                                Yes     No      Maybe


     6.  Night sailing experience?                                     

                        Some     /    Moderate    /    Significant

                as:  Skipper    /    Crew


     7.  Overnight cruising experience?                                

                        Some     /    Moderate    /    Significant

                as:  Skipper    /    Crew
 
     8.  List formal sailing courses that you have taken and enclose 
     copies of any certificates earned. (We require that you have 
     taken/or will take the Coast Guard Auxiliary's Sailing and Seamanship 
     course and the Basic Coastal Navigation course, or equivalent.)










     9.  New Member Sailing Resume and Experience:      

                              Days       Days         Waters      Time 
        Vessel Type           Crewed     Skippered    Sailed      Period
      (length, make, rig)                               (Years, months or days)       

     (1) 

     _________________________________________________________________


     (2) 

     _________________________________________________________________
     

     (3) 

     _________________________________________________________________
     

     (4) 

     _________________________________________________________________



     Other qualifications or applicable information to describe sailing experience: