Eglin Yacht Club Membership Application
 (download Word form) or (download .pdf form)

This form should be filled out then printed and brought to the Eglin Yacht Club 

Member Information
First Name:
Last Name:

 Spouse's Name:              Do you have internet access? Yes   No


City: State: Zip Code:

Home Phone: Work Phone: Rank/Grade:

Email Address:

Your Status:

Military Civil Service Contractor ---and you are---Active Retired Widowed

Boating Information 

Boat Name:
Type: Size:
Make/Model:    Registration Number:

Dive Information

Date of Certification:

Type of Certification:

Certifying Organization:

Registration on NR:

Date of Last Physical:

Instructor NR:

Authentication By:

Date of Authentication:

 Activities of Interest
Please mark the social activities you are interested in and you will receive information on those specific events.

Fishing (Day Trip - Bay/Gulf)

Fishing (Overnight Trip)

Boat trips (Day) (jetski, small boat)    

Excursions (Sleep on boat)

Overnight Boat Trips (lodging expected)

Boating/Sailing Crew


Extra Hands (help and learn about boat repair

EYC Socials (game night) EYC Ambassador at Functions Booster Club Fund Raising Events
Spear Fishing Dive Day Trips Dive Overnight Trip
 Please list any other activity that you are interested in but is not listed above:

Please Note
The Eglin Yacht Club is a social organization run by volunteer member's manpower. When you join, you and your spouse will be expected to volunteer your time for one of the duties listed below. Please check each of the following that you would desire to serve:

Hamburger night cooking crew chief

Hamburger night crew helper

Dive equipment rental duty     

Membership dinner crew chief

Membership dinner crew helper

Club self help projects

Wash dishes/meal cleaning

Other tasks as needed

Please list any self-help expertise you have, i.e., plumbing, carpentry, painting, electrical, design/layout, etc.

 Date of Application:                   Signature:  
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