____________________________________________
APPLICATION FOR MEMBERSHIP
COLUMBUS BOATING CLUB
Date:
________
Name:_____________________________________
(Last)
(First) (M.I.)
D.O.B. : ________
Spouse Name: __________________________________
(Last)
(First)
(M.I.)
D.O.B. : _________
Address:
___________________________
(Street) (City,
State, Zip)
Home Phone: __________ Cell
Phone: _________
His _______
Hers:
_______
Email Address: (His)__________(Hers)_________
His Place of Employment: ____________________
Position: ______________ Work
Phone: ________
Her Place of Employment: ___________________
Position: ______________ Work
Phone: ________
Personal Reference:___________Phone:
________
Address:________________________________
(Street)
(City, State, Zip)
Sponsored by: __________________________________________
List names and
ages of minor children living at home:
Name: ________________________Age:
______
Name: ________________________Age: ______
Name: ________________________Age:
______
Name: ________________________Age:
______
List names and ages of adult
children not living at home who reside in the Columbus Area:
Name: ________________________Age:
______
Name: ________________________Age:
______
Name: ________________________Age:
______
(Use reverse side if needed)
NO UNSUPERVISED TEENAGERS UNDER 18 YEARS OLD ARE ALLOWED AT THE
POINT AT ANY TIME
CBC IS NOT LEGALLY RESPONSIBLE FOR HARM OR INJURIES WHILE MEMBERS AND
THEIR GUESTS ARE AT THE POINT. USE THIS FACILITY AT YOUR OWN RISK
___________________
Signature of applicant
DO NOT WRITE BELOW THIS LINE
______________________________________________________
Date Application Received:
__________________________
Interviewed by Club Officer:
________________________
Date Acceptance
Letter Mailed: _______________________
Date Constitution
& By-Laws Provided: ________
Membership Number: ______
