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Membership Application

Next Steps:

Fill out the form completely
Electronicall sign the REQUIRED “Membership Application Signature Page” (will be sent to you and your sponsors by email)
Mail or drop off $300 to 401 Williams Street, South Haven, MI 49090 (there is a locked mailbox by the door if you drop off your deposit)

Applicant Information

Please complete all required fields!

Primary Applicant Information

Primary Applicant First Name(*)

Please let us know your first name

Primary Applicant Last Name(*)

Please let us know your last name.

Date of Birth(*)

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Primary Applicant Occupation(*)

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Primary Applicant Email Address(*)

Please let us know your email address.

Phone Number(*)

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(*)

Home Mobile

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Type of Membership(*)

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Are you applying with a Spouse/Domestic Partner? (Domestic Partner definition "a person with whom you live and share a close and committed mutually exclusive relationship of an indefinite duration but with whom you are not joined by marriage or related by blood."(*)

Yes No

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Application Agreement(*)

I have read and understand the Domestic Partner definition.

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Co-Applicant Information

Co-Applicant First Name

Please let us know your first name

Co-Applicant Last Name

Please let us know your last name.

Date of Birth

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Co-Applicant Occupation

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Co-Applicant Email Address

Please let us know your email address.

Co-Applicant Phone Number

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Phone Type

Home Mobile Invalid Input

Address Information

Mailing Address(*)

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Address 2

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City(*)

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State(*)

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Zip Code(*)

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Local Address (if different than Mailing Address)

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Local Address 2

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City

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State

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Zip Code

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Dependents

Name and birthdates of dependent children under the age of 21

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Boat Information

Do You Own a Boat?(*)

Yes No

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Type

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Make & Model

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Length

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Interests

Committee Interests

Finance Fleet & Docks House & Grounds Membership (Recruitment) Social (Planning Events & Volunteering) Invalid Input

Joining SHYC

Please state your interests for joining the South Haven Yacht Club.(*)

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How did you hear about the SHYC?(*)

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