





PLEASE MAIL TO:Carlyle Sailing AssociationPaul Hanson, Vice Commodore109 Mark TrailGlen Carbon, Illinois 62034Phone 618-288-5840
APPLICANT INFORMATION (Please Print Clearly):
Name_______________________________________Spouse_____________________Date_________
Address ____________________________________________________________________________
City_______________________________________________State_____________ZIP_____________
Phone: (Home)___________________ (Work) ____________________(Cell) ____________________
E-Mail 1: ___________________________________________________________________________
E-Mail 2: ___________________________________________________________________________
Mail the “Marks” (CSA Newsletter) to your home? (Available on Website) Y___N___
SAILBOAT INFORMATION:
Class or Type:___________________________Hull Color:_____________ Sail Number:____________
Illinois Registration Number: IL__________________________________________________________
(All boats at CSA are required to have ILLINOIS registration)
If not a "ONE-Design" class (Lightning, Flying Scot, Catalina 22, Hobie-16, etc.) supply the following data:
Overall Length_____________Waterline Length____________Weight/Displacement______________
Mast Height______________ Mainsail Area______________ P_______ E_______ Jib Area ________
Rig: Masthead________________ Fractional______________ Other (explain)____________________
EVIDENCE OF INSURANCE:
Each owner shall possess liability insurance to cover damage to other boats or injury to persons. Limits of liability shall be a minimum of $25,000 per individual, $50,000 aggregate and $10,000 property damage.
Company_____________________________ Policy # ______________ Expiration Date _____________
CSA membership includes a maintenance fee that may be adjusted annually. Season Space Renters (SSR) may work for credit towards the maintenance fee. That credit may be refunded at the end of the year or it may be credited to the next year's SSR fee. Please indicate if you are willing to work to offset the Maintenance Fee.YES _______ NO _______ If YES, please indicate your areas of interest or skills:
Docks _____ Grounds_____Buildings______Race Equip.(powerboat maint.) ______ Race Mgt _______ Legal _______Jr. Sailing_________Publications ______ Advertising/Marketing______ Carpentry ______ Plumbing ______ Electrical_____ Welding _____Computer Programming ______ Mechanical _____ Anything ______ Other Skills or Talent_______________________________________________.
CSA MEMBERSHIP FEES:
Season Space Renter (SSR): May through October
Entry Date
May 1 June 30 July 1 Aug 31Sept 1 Oct 31Space Rental$375$285$195Maintenance Fee$200$120$60TOTAL SSR FEE:$575$405$255Enter Season Space Renter Membership Fee: $________
Racing Associate (RA):
Allows individuals who owns a cabin boat based at another harbor to participate in CSA's Cabin Fleet race program, be scored and eligible for trophies, listed in the CSA directory, and receive the CSA monthly news letter. Applies to Cabin Fleet only and proof of insurance is required. Racing Associate fee: $100.00
Racing Associate Membership Fee ($100/year): $________
Mailing Associate (MA):
Allows individuals who are not SSR's or RA's to participate in CSA social functions and Jr. Sailing, be listed in the CSA directory, and receive the monthly CSA newsletter. Mailing Associate fee: $35Mailing Associate Membership Fee ($35/year): $________
Junior Associate:
A junior associate is eligible to keep a Laser or Sunfish on CSA property and participate in the CSA racing program. Junior members must be 10 to 21 years old or until they graduate from college if a full time student.
Entry Date
May 1 to July 31
August 1 to October 31
Board Boat
$25
$25
Two Handed
$100
$75
Three handed
$150
$100
+ 10 Work hours
+ 5 Work hours
Junior Associate Membership Fee: $________
Cabin Boat Waiting List:
Membership applicants for the Cabin boat fleet will be put on a waiting list according to the date of receipt of a properly completed application for CSA membership and a $50 deposit. This deposit shall apply toward the first year's Season Space Renter membership. If the applicant withdraws his name from the waiting list, the $50 deposit may be refunded upon request.
Cabin Boat Waiting List Deposit ($50): $________
CARLYLE LAKE ASSOCIATION (CLA) MEMBERSHIP:
An organization dedicated to the interests of all to benefit sailing, power boating, farming, hunting, camping, and fishing. Carlyle Lake Association dues are $10/year. Membership is optional.
Carlyle Lake Association Fee ($10/year): $________
UNITED STATES SAILING ASSOCIATION (USSA) MEMBERSHIP:
CSA is a "Golden Anchor Club", therefore fees are reduced. Membership is optional. If joining or renewing, do you wish to receive the USSA Yearbook? Y______ N______
(Check One) New Membership ______ Renewal _______
Youth (18 years or less or full time student)
$12.00
Regular (Individual)
$40.00
Family (Contributing)
$60.00
Sustaining
$75.00 or more
Show Amount to be Forwarded to USSA: $________
TOTAL AMOUNT ENCLOSED: $________
Make Checks payable to Carlyle Sailing Association
FINE PRINT: I verify that the information on this form is correct and I own the boat(s) listed above. (Only ONE boat owner is permissible on CSA forms.) I will acquaint myself with the Carlyle Sailing Association Rule Book. I will abide by these rules. I will be responsible for the conduct of my guests on the
premises. Further, I will not transfer, assign, loan or sub-lease my space to another person, and I will immediately notify the Vice Commodore if I permanently vacate my space.Signature: ____________________________________Date: ____________