Member Application Form The Portland Yacht Club ("The Club") welcomes anyone to apply for membership who subscribes to the mission, core values and policies of the Club. Mission, Core Values and Policies Portland Yacht Club is a welcoming, inclusive destination for those who have a passion for boating, maritime traditions, seamanship, and racing. We are a community of families, friends and volunteers who share a love of Casco Bay. Integrity We are honest, fair, and respectful of members, staff, and visitors. Seamanship We foster a spirit for racing, cruising, and nautical adventure. We are committed to education and skill development through boating programs and events for all ages. Stewardship We honor and value our Club's heritage and maritime traditions. We support the future evolution of recreational marine related activities in a responsible manner. We respect and care for our Club and community. We are responsible evnironmental stewards of Casco Bay. Engagement We actively participate in volunteer opportunities through committees, leadership positions, and Club events. We welcome and value our members, guests and employees for their contributions. Applying for Membership: Applicant Responsibility The following forms and application fee must be submitted to be considered for review. Incomplete packages will not be considered. Completed Membership Application Form (all fields with a red * asterisk must be completed) Two Sponsorship forms signed by the Sponsors. Non-refundable application fee - $200 Due Date: December 16th, 2023 Applicant Status Notification April 14th, 2024 Accepted Applicants will be notified of either being placed on the waitlist or admitted to membership. Once the Applicant is notifed they are Admitted to Membership, the Initiation Fee and Annual Dues in effect at that time, will be due upon receipt of an invoice. Initiation Fee, Dues, Special Assessment: 2024 Rates Membership Dues Initiation Fee Dining Room Minimum Boating $2,700 $5,400 $560 Intermediate $810 $0 $560 ** A portion of the intermediate dues paid will be applied to the Initiation Fee due when you become a boating member. Special Assessment: From time to time, special assessments are incurred by the membership. Special assessments charged to members in the year of Admittance to the Club will be due.Membership category*Please select oneBoating Member (must be 30 yrs of age or older)Intermediate (must be 21 yrs to 29 yrs of age)Applicant Contact InformationTitle*Mr.Mrs.MsDr.Primary Applicant Name* First Name (Formal) Middle Initial Last Name Informal (Nickname) Date of Birth* MM slash DD slash YYYY Primary Address (May - October)* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Lookup Phone (Home, Work or Mobile)*Mobile* Mobile Alternate PhoneEmail address* Current Employer* Professional Title* PYC Affiliations*Former MemberParent, Child or Sibling of a Current MemberDeclined prior Membership offerNo prior affilationWinter Address (if applicable) Winter Address (if applicable) Winter Address Street Address Address Line 2 City ZIP / Postal Code Winter Lookup Select CountryAfghanistanAlandAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAscensionAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (DRC)Cook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Islas Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (North Korea)Korea (South Korea)KosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territories (Gaza Strip and West Bank)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-Leste (East Timor)TogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweCountrySelect StateChernihivCherkasyCrimeaChernivtsiDnipropetrovskDonetskIvano-FrankivskKharkiv KhersonKhmelnytskyyKirovohradKievKyyivLuhanskLvivMykolayivOdesaPoltavaRivneSevastopolSumyTernopilVinnytsyaVolynZaporizhzhyaZhytomyrZakarpattyaStateSecondary Applicant Secondary Applicant Secondary Applicant NameMr.Mrs.MsDr.Primary Applicant Name First Name (Formal) Middle Initial Last Name Informal (Nickname) Date of Birth MM slash DD slash YYYY Phone (Mobile?)Alternate Phone(mobile?)Email address Do you have children?* Yes No Children 21 or Under*First NameLast NameAge Add RemoveInterest in Jr Sailing Program* Yes No Motivation for JoiningThere are many options in greater Portland where you can keep a boat. Please provide information as to why you would like to join the Portland Yacht Club.Why do you want to join the Club? What do you see as benefits of membership?* How will the PYC community benefit from having you as a member?* Boating Club AffiliationsDo you have Boating Affiliations* Yes No Boating Affiliations* Name List Boating Affiliation involvement activities* Race Crew Cruising Day Boating Social Volunteer Current or Past Volunteer ExperiencePlease share Current/Past volunteer experience* Any Board experience? Positions held? Please explain* Boat InformationDo you own a boat or boats?* Yes No Please provide additional information.* Sail Power Sail*MakeModelSize Add RemovePower*MakeModelSize Add RemoveWhere will the boats be kept.* Do you have plans to purchase a boat in the future, if so, sail or power and when?* Boating Experience / EducationProvide your boating background (Ie: years of boating experience, race management, cruising experience) PYC welcomes all levels of boating experience and knowledge. This section will help the Membership Committee align volunteers and committees with your interests and contributions to the Club.How many years have you been actively sailing or power boating?Please chooseNo boating experience but hope to gain experience over time1-56-1010-15Greater than 15 yrsDo you have a sailing or boating license or certifications? Yes No Please describe Do you have experience w/race management or participating on race committee? Yes No Please provide examples of your experience - positions held, # of boats* Have you ever taught sailing or power boating courses? if so, please provide details* Yes No Please list other boating related interests (example: maritime history/antiques, reading about sailing adventures, Friends of Casco Bay, community boating, boat building, etc) Volunteer AspirationsPYC is a volunteer driven club and it's a great way to get to know members. Please check the areas of volunteerism that interest you. Select all that apply.Primary Applicant* Board of Directors Cruise Decorating Entertainment Finance Food & Beverage House and Grounds Junior Sailing Race Waterfront Unable to volunteer at this time. Secondary Applicant* Board of Directors Cruise Decorating Entertainment Finance Food & Beverage House and Grounds Junior Sailing Race Waterfront What attracts you to the choices you made?” If you are unable to volunteer, please explain. Is there anything else you’d like us to know about you that would help in the Application Review Process? Sponsor InformationTwo sponsors are required. Sponsors may be: - 2 current Portland Yacht Club members - 1 member of the Board of Directors from a recognized yacht club of which the Applicant has been a member within one year of the application date and 1 current Portland Yacht Club member. HiddenI'm new to the area and do not have sponsors I'm new to the area and do not have sponsors Sponsor 1 First Name:* Sponsor 1 Last Name:* Sponsor 1 Email* How long have you known the sponsor?*<1 year1-5 years5-10 years10+ yearsWhat is your relationship to the sponsor (family, co-worker, friend)* Sponsor 2 First Name:* Sponsor 2 Last Name:* Sponsor 2 Email* How long have you known the sponsor?*<1 year1-5 years5-10 years10+ yearsWhat is your relationship to the sponsor (family, co-worker, friend)* Application Signature:Primary Applicant Name (printed)* Policies I have read the Portland Yacht Club Mission Statement and Core Values; I believe my boating interests and aspirations, as outlined in this application, are in alignment with them. Primary Applicant Signature*Application Fees Price: Credit CardCard Details Cardholder Name