Member Update Form – Rose City Yacht Club

Member #1 Name

First

Last

Member #2 Name

First

Last

Member #1 Email

Member #2 Email

Member #1 Website or Blog / URL

Member #2 Website or Blog / URL

Member #1 Telephone Number

Member #2 Telephone Number

Member #1 Phone Type

Member #2 Phone Type

Members 1 & 2 Physical Address

Address Line 1

Address Line 2

City

State

Zip Code

Please upload your photo in JPG or PNG format. Maximum file size is 4 MB.

Drag & Drop Files, Choose Files to Upload

Maximum of one file upload.

Please indicate if the boat is an incoming boat or an outgoing boat to the RCYC moorage.

Boat Status

Propulsion Type

Length

Make

Draft

Beam

Boat Name

Model

Please list the name of someone you know and trust. This person should be reachable during an emergency concerning your boat.

Emergency Contact Name Update

First

Last

Emergency Phone Contact Update

Emergency Email Update

Emergency Secondary email, if any