Seawanhaka Corinthian Yacht Club

2017 Non-Member Application

Seawanhaka Corinthian Junior Yacht Club
314 Yacht Club Road
Oyster Bay, NY 11771
Phone: (516) 922-6200 ext.117
juniorclub@seawanhaka.org
www.seawanhaka.org

Sailor's Information

Parent/Guardian's Primary Contact

All non-members must have an SCYC member sponsor in order to participate in the SCJYC Junior Program. Please complete the applicable information below.


 Non Member Sponsor Information
Sponsor Name
Sponsor Member #
Relationship to Sponsor
Previously Assigned SCYC Junior Membership #
Relationship to Participant: *
 

Emergency Contact

Relationship to Participant:
 

Medical Waiver

Medical Waiver Acknowledgement *
Seawanhaka Corinthian Junior Yacht Club
314 Yacht Club Road
Oyster Bay, NY 11771
Phone: (516) 922-6200 ext.117
Fax: (516) 922-6203
Email: JuniorClub@seawanhaka.org
www.seawanhaka.org