Renewal Form Club Membership Renewal (2022/ 2023)Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Date of Birth *GenderFemaleMaleOtherStreet AddressTown / CityHome PhoneCell PhoneEmergency Contact *FirstLastEmergency Contact NumberExisting MemberYesNoUnknownMembership Type *Individual ($120)Youth (under 19 at 1st of April) ($40)Associate (Non sailing or full member of another BAI affiliated club) ($30)Family (fill in names below) ($200)Youth Academy ($40) (fill in name and guardian below)Immediate past Capital Blokart club member. ( No fees 2022-23)Note: Full adult club membership is $120 which includes unlimited track use (adult membership plus casual track fee is no longer an option) Family membership includes track fees as well.Full name 1 (Parent/ Guardian) Full Name 2 (Parent/Guardian)Full Name 3 (Child under 19 @ 1st of April)Full name 4 (Child under 19 @ 1st of April)Full Name 5 (Child under 19 @ 1st of April)Paying by Internet Banking? (15 3977 0010775 00)YesNoPulley Whip NumberCommentSubmit
