Membership Application Form 2008 For Lake 32 Membership runs 1st April - 31st March 2009

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Name(s)	Today's Date	E-Mail
Address	Tel:	Tele: Mobile
Postcode	Type Of Craft	Boat Type
Date Of Birth (if under 18)	Storage Required Yes No	Storage is £35.00 per year
Insurance Company	Policy Number	Date Of Expiry

Please note under 18's must be accompanied by a parent or guardian

Please note All person who sail on Lake 32 Must be covered to the value of £2,000,000 ( Kayakists, Canoeists & Triathlon Members Excluded)

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Paid On Site Yes No

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Costs Windsurf Board £140.00 Second Board family member £75.00,Sailing Dinghy £140.00 Kayak £140.00,Canoe £140.00 Triathlon Membership £40.00 Storage £35.00 (Please note Waterland provide storage at the owner of the equipments risk and take no responsibility for theft or damage.)

Rules Of the Site

I hold third party insurance cover to the value of 2,000,000 and the policy number and other information is contained above) Excepting Kayaking/Canoeing & Triathlon Membership

I shall abide by the rules laid down by Waterland Gear Ltd

I shall secure all gates and buildings after use

I agree not to cause damage or a danger to other users.

I shall comply with all legitimate regulations and requests from authorised staff of the Cotswold Water Park Society Ltd and Waterland Gear Ltd

Membership Application Form 2008 For Lake 32 Membership runs 1st April - 31st March 2009

Name(s)

Today's Date

E-Mail

Address

Tel:

Tele: Mobile

Postcode

Type Of Craft Sailing Dinghy Windsurf Board Kayak Canoe Triathlon

Boat Type

Date Of Birth (if under 18)

Storage Required Yes No

Storage is £35.00 per year

Insurance Company

Policy Number

Date Of Expiry

Type Of Craft