Membership Application Form

Full address
Please choose the type of membership required.
Please let us know of any other relevant qualifications, i.e. First Aid etc.
Covered by the membership; Spouse/Partner or under 18 year old:
2nd member's email if different to primary member
2nd member's mobile if different to primary member
2nd Member's Sailing Qualifications
2nd Member's Power Boat Qualifications
2nd member's skills i.e. first aid, catering, electrical, building, plumbing, book keeping, secretarial, grass cutting, IT, sign writing, etc.
3rd member's email if different to primary member
3rd Member's age if under 18
3rd member's mobile if different to primary member
3rd Member's Sailing Qualifications
3rd Member's Power Boat Qualifications
3rd member's - skills i.e. first aid, catering, electrical, building, plumbing, book keeping, secretarial, grass cutting, IT, sign writing, etc.
4th member's email if different to primary member
4th Member's age if under 18
4th member's mobile if different to primary member
4th Member's Sailing Qualifications
4th Member's Power Boat Qualifications
4th member's skills i.e. first aid, catering, electrical, building, plumbing, book keeping, secretarial, grass cutting, IT, sign writing, etc.
5th member's email if different to primary member
5th Member's age if under 18
5th member's mobile if different to primary member
5th Member's Sailing Qualifications
5 th Member's Power Boat Qualifications
5th member's skills i.e. first aid, catering, electrical, building, plumbing, book keeping, secretarial, grass cutting, IT, sign writing, etc.
Select boat/trailer to be stored at Swarkestone Sailing Club
Enter total fees based on type of membership plus any applicable boat/road trailer fees.
Water craft owning members shall at all times have third party insurance cover of not less than £2,000,000 for any one accident. No boat may participate in sailing on the club water unless it satisfies the conditions of boat buoyancy laid down by the relevant Class Association. Please give boat details below (if applicable).

Once your membership has been accepted you will use your allocated boat-parking space if required.

Boat owners, please display the boat park sticker on your boat(s).
Personal effects are not insured by SSC and you are advised to take out your own cover for clothing and possessions. Valuables are not to be left in the changing rooms.

The member and any companions are required to have consideration for other people. If, in the club’s reasonable opinion, they behave in such a way as to cause or be likely to cause danger, upset or distress to any third party or to damage property, SSC is entitled, without prior written notice to terminate the use of the club and its facilities..

All members must accept responsibility for their own safety and follow the Standard Operating Procedures of the club.

Members (and their parents/carers in the case of members under 18) are deemed to be aware that sailing has inherent risks and that they accept those risks willingly. For example; drowning, hypothermia, fire on board and injury from the boom are all possibilities. Similarly, pontoons and the beach may pose a slip/trip hazard particularly when launching and/or recovering a boat. The standard Operating Procedures of the club should minimise these hazards but it is essential that all club members and visitors are aware of their existence and their own responsibility to implement sensible behaviours to minimise risk.

SSC shall not be liable for any injury, damage or loss which may result from the normally accepted risks of sailing. Members are advised to insure against injury or loss and arrange suitable medical cover.

Children under 16 must be supervised at all times by their parent/carer (except when participating in an RYA course eg Juniors).

Children should not be left ashore if parents/carers are sailing unless suitable arrangements for supervision have been made with an appropriate adult.

All members must comply with SSC rules at all times (Handbook available on Club website).

All members (except in exceptional circumstances) are expected to carry out Club Duties (dates to be agreed with member) which comprise of Officer of the Day, Assistant Officer of the day and manning rescue boats.

No boat may participate in sailing on the Club water unless it satisfies the conditions of boat buoyancy laid down by the relevant Class Association.
I wish to apply for membership of Swarkestone Sailing Club.

My water craft(s) will carry third party insurance cover to a minimum of £2,000,000.

I am aware that the rules require all members to carry out sailing duties and I am willing to do so.
I have no objection to club records being kept on a computer for club use.

I have no objection to my phone number and email address being published in the member’s area of the club website or the club keeping me up to date with club related news via either post or email.

I confirm that I am willing to comply with all safety regulations and the Standard Operating Procedures of SSC.

I confirm I have read the Terms and Conditions above and agree to abide by them.

I confirm I have provided an emergency contact number of someone who would know relevant medical details, should they be needed.
Cheques should be made payable to Swarkestone Sailing Club or payment can be made directly into the Swarkestone Sailing Club bank account.
The banking details are as follows:
Sort code: 54-10-56 Account: 07607512
Payee: Swarkestone Sailing Club
Ref: ‘Your Name’ eg J. Bloggs
Please note money should not be left in the Club House.
By selecting "Submit Application" this form will be emailed to the Membership Secretary. Should you wish to contact the Membership Secretary, his contact details are: Mr Joe Levy (SSC Membership Sec) 29 Maylands Avenue, Breaston, Derbyshire, DE72 3EE or email: swarkestonescmembership@gmail.com