Leicester Sailboard & Windsurfing Club Days yr 2011

 Application for Membership

Full Name __________________________

Address __________________________________________________

Post Code _________

Telephone No ________________ Mob No ____________________

E-Mail Address ___________________________________________

Sail Board Type ie Race Board/Short Board/Kite __________________

I am in possession of a current Sailboard/Windsurfing/Kite Surfing Insurance Certificate with Third Party Cover for a minimum of £1,000,000 and undertake to keep this in force at all time during my Membership.

Name of Insurers _________________________________________

Policy No ____________________ Signed _____________________

Note It is a condition of membership that you and/or your family have a current Insurance Certificate for Third Party Risks

Junior Membership Under 18 or Full Time Education £24/yr

Senior Membership £48/yr (Car Card Access to Water Mead Park one off £10 Deposit)

Family Membership £60/yr  (Car Card Access to Water Mead Park one off £10 Deposit)

Key to Changing Facilities/Toilet £4.50 (Refundable on return of key)

Send Completed Application Form and Cheque Payable to "Leicester Sail Board Club" to:-

LSC Secretary, 144 Mountsorrel lane, Rothley, Leicester LE7 7PW