Online Membership Application For New Members Please enter the requested information below. Please enable JavaScript in your browser to complete this form.Name *Email *Phone *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAre you a member of any other sailing club?YesNoDo you own a boat?YesNoMembership Type *Family - 300,00 €Standard Senior - 250,00 €Student - 100,00 €Junior - 100,00 €Social - 100,00 €Crew - 150,00 €Please select Membership type from the dropdown menu.Spouse Name *Spouse Email *Child 1 NameChild 1 Date of Birth DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 2 NameChild 2 Date of BirthDD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 3 NameChild 3 Date of BirthDD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 4 NameChild 4 Date of BirthDD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Student enrolled full time at:Date of BirthDD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Declaration: I apply for membership of Wicklow Sailing Club and confirm that the particulars above are correct and all questions answered and appropriate fees will be submitted. It is understood that Parents/Guardians and all members are aware that safety cover is only provided during organized events and members sail otherwise at their own risk. Membership fees do not include mooring or other fees.Declaration Confirmation: *I ConfirmProposers: Please enter the names of two current members of Wicklow Sailing Club who would be willing to propose your application. If you don't know any members please enter Commodore and Vice CommodoreProposer 1Proposer 2Payment Section:Please enter your credit / debit card details belowCard Payment Details *CardName on CardSubmit