America's Boating Club Savannah Membership Registration

Application for Primary Active Member

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• * Address 2:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * Phone:
• Cell Phone:
• Gender: --Choose-- Male Female
• * Date of Birth(MM/DD/YY):
• Significant Other's Name

Application for Additional Household Members (Primary & Others must live in the same household)

• First Name:
• Last Name:
• Email Address:
• Phone:
• Gender: --Choose-- Male Female
• Date of Birth:

Club & Boat Information

• * Do you own a boat or a member of a boat club? --Choose-- Yes No
• Boat Length: --Choose-- Under 16 feet 16 - 25 feet 26 - 39 feet 40 - 54 feet 55 feet or greater
• Boat Name?
• Boat Type: --Choose-- Power Sail
• * Have you taken and passed a basic boater safety course? --Choose-- Yes No
• How much boating experience do you have?
• What boating experiences would you like to pursue as a member?
• Personal Skills I/we would be willing to share:

• Volunteer areas I/we are willing to help the squadron succeed.

  • Hospitality
  • Membership
  • Education
  • Communications
  • Photography
  • Newsletter
  • Public Relations
  • Community Service
  • Boating Activities
  • Programs for Youth

• I/we look forward to being active members(s) in our local squadron and are willing and able to help promote USPS/America's Boating Club's safe recreational mission in our community.