BLSA Membership Application & Renewal Form Membership Year is April 1 through March 31. Memberships received by April 1 are guaranteed to be in the membership booklet. * Required Fields Please Select Your Membership Level * Admirals Club $225 - Includes Family or Single Membership (as below) plus acknowledgement of your generosity in the BLSA directory. Family $115 - Covers up to two adults and minor children for all events Single $60 - Covers one adult for all events Associate $25 - Supporting, non-participant membership, no events included AdmiralFamilySingleAssociate Capital Improvement Fund Please consider a voluntary donation to this fund to help maintain and/or replace BLSA club assets. For example, we will someday need new canopy tents, tires for the BLSA trailer, etc. Your generosity is greatly appreciated! Total Amount: * Method of Payment: * Please make your check payable to "Brookville Lake Sailing Association". Mailing address is located on the "Join Us" page. MEMBER DETAILS Please include all that apply. What year did you Join BLSA? Member 1 Name *(required) Member 1 Email* (required) Member 1 Contact Phone Please include area code. Member 1 Mailing Address: Member 2 Name Member 2 Email Member 2 Contact Phone Please include area code. Member 2 Mailing Address: E-Mail Privacy Option / Opt-Out: We strive to keep members' e-mail addresses hidden in our communications. Your e-mail address(es) will only be used to communicate BLSA business and newsletters. Your address(es) WILL NOT appear in the current Membership Book if you select the option below. Do not share email. Names and Ages of Minor Children: Names and Types of Dock Pets: BOAT INFORMATION Boat Make/Model: Boat Length: Hailing Name: Sail Number: Rig: StandardTall Keel: FixedSwingCenterBoard Draft, In feet: Boat Location: Please list your Marina and Slip/Buoy number. If you use Hanna Creek Dry Dock or Trailer please indicate this as well. Other Boat(s): Please include the make and name of any other boat(s) you may own: Membership Survey Questions What do you want BLSA to look like in 5 years? Please describe how BLSA could be the perfect yacht club for you. Are you interested in racing? AlwaysSometimesNo Thanks If you plan to race this year, would you prefer races on Saturday or Sunday? Either DaySaturdaySunday Do you have any skills, equipment, facilities or suggestions that may be of use to BLSA? Are you interested in hosting or assisting with any "at the lake" events? HostAssistNot Interested Are you interested in hosting or assisting with any "away from the lake" events? HostAssistNot Interested Special Events or Fun Facts? We are looking to include special events (birthdays, anniversaries, etc) for members as well as any fun facts about yourself or your family that you would like to share in the Membership Book. Please share below: PHOTO? Members photos in the Membership Book have been a great tool to put names and faces with boats and get to know other BLSA Members. If you would like to submit a photo, please be sure to email it to firstname.lastname@example.org. New PhotoUse Last YearNot Interested What can we do to make BLSA more enjoyable and better serve your needs?