Membership Application

2017 Membership Application

Please accept my application for membership in Pontchartrain Yacht Club

Full Name(required)


Children's Names and Ages

Home Address

Phone (Home)

Phone (Cell)

Phone (Work)




Company Address

Member of another Yacht Club?


Yacht Club Name

Date of Membership Resignation?

Boat Owner Y - N


Boat Name

Boat Description, Location (physical address)

Your Boating Interests (Racing, Crusing, Sail, Power):


PYC is run by the members, for the members. We have a Club manager, but everything else is handled by the membership on a volunteer basis. Please indicate below, which areas, you as a club member, would prefer to contribute your talents to
(Social Events, Race/Regattas, House/Grounds, Membership Committee, Junior Program).

Social EventsRace/RegattasHouse/GroundsMembership CommitteeJunior Program

Personal References (Must be different from Sponsors)

1. Name/Address/Phone:

2. Name/Address/Phone:

PYC Sponsors: (Must be a current member in good standing)

1. Name/Address/Phone:

2. Name/Address/Phone:

I have been informed of this proposal and verify that the above information is true and correct. I authorize the membership committee of the Pontchartrain Yacht Club to conduct a credit check and I understand that an unfavorable report may render this application null and void. I understand I am entitled to a copy of the credit report that will be furnished upon request. There is a $100 application deposit to be received at the time the application is submitted. This deposit will be applied to the purchase of one share of stock or initiation fee, and is refundable if the application is denied. I also understand that membership acceptance is not guaranteed. It is at the full discretion of the Board of Directors.


Signature of Applicant:

Member: United States Sailing Association – Gulf Yachting Association

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