K.S.A MEMBERSHIP FORM

                                       1st March 2020- 28th February 2021

 Name:       ......................................................

Address:    .......................................................

                   .......................................................    .......................................................  ..........................................................

Post Code: ............................................

Telephone:  ...........................................

E-Mail :  ..................................................................

Car Registration No(s):  .........................................

Please choose type of membership required..................................

Family/Single - (£110)     Group - (£220),   Unwaged  - (£25)

There is a one-off Joining Fee – (£40)

Please indicate any craft you have: …………………………………………………………………..............................................................................

Please indicate numbers in your membership..........................................................................................................................................................

Do you require a berth (£60 each) ………………………………………………………………….

Declaration by Member:

I am competent to handle the craft registered

I consent to the rules of the Association and agree to abide by them (Copies of the rules are available on request)

I understand that all users of the lake take full responsibility for their own safety

I am over 18 years of age (or, if under 18, will only use the lake under the supervision of a responsible adult)

I hold valid insurance which covers '3rd party' claims up to at least £1 million against any person authorized by me to

sail a craft I have registered on the reservoir (Please note members do NOT require insurance to sail the club craft as

they are covered by the Association's insurance)

I am happy to undertake routine duties to help run the club, as approved by the membership at the 2006 AGM

I agree to this information being stored on a computer

 Signed ...........................................................................    Date .....................................................

Please download and complete the form and email it to the Membership Secretary at This email address is being protected from spambots. You need JavaScript enabled to view it.