NYYC Member Profile & Yacht Registration

NYYC Member Profile and Yacht Registration Update
Full Name

PrefixFirst NameMiddle NameLast NameSuffix
Member #
Familiar or Nickname (if any)
Please attach a recent head shot photograph for the Member Directory

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Contact Information
Primary Email Address
Primary Email Address Type
Personal Email Address
Business Email Address
Billing Address Type
Business Name
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business Address (w/o Business Name)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you annually spend more than one continuous month at another residence?
Other Seasonal Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Seasonal Address Start Month
Seasonal Address End Month
Primary Phone Number
Format: (000) 000-0000.
Primary Phone Type
Cell/Mobile Phone
Format: (000) 000-0000.
Home Phone
Format: (000) 000-0000.
Business Phone
Format: (000) 000-0000.
Primary Phone Number (International)

Country CodeArea CodePhone Number
Primary Phone Type (International)
Cell/Mobile Phone (International)

Country CodeArea CodePhone Number
Home Phone (International)

Country CodeArea CodePhone Number
Business Phone (International)

Country CodeArea CodePhone Number
Family Information
Are you married?
Spouse Name

First NameLast Name
Spouse Date of Birth

MonthDayYear
Spouse Email
Would your spouse like to be copied on club emails?
Would you like to include a picture of your spouse?
Please attach a recent head shot photograph of your spouse

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Do you have children (please include children of all ages)?
Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Do you need more space to list children?
Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Employment and Education
What is your employment status?
Occupation
Employer
Title
Former Occupation
Former Employer
Title upon Retirement
In which of the following areas do you feel you have professional or high-level experience?

Other
Educational Institution
Location
City, State or Country
Degree
Subject
Educational Institution
Location
City, State or Country
Degree
Subject
Educational Institution
Location
City, State or Country
Degree
Subject
Educational Institution
Location
City, State or Country
Degree
Subject
Club Memberships & Volunteer Organizations
Do you belong to any other clubs or volunteer organizations? (Please include all types of clubs)
Club or Organization Name
Type
Location
City, State or Country
Highest Position Held (if any)
Club or Organization Name
Type
Location
City, State or Country
Highest Position Held (if any)
Club or Organization Name
Type
Location
City, State or Country
Highest Position Held (if any)
Club or Organization Name
Type
Location
City, State or Country
Highest Position Held (if any)
Do you need more space to enter club memberships or volunteer organizations?
Club or Organization Name
Type
Location
City, State or Country
Highest Position Held (if any)
Club or Organization Name
Type
Location
City, State or Country
Highest Position Held (if any)
Club or Organization Name
Type
Location
City, State or Country
Highest Position Held (if any)
Club or Organization Name
Type
Location
City, State or Country
Highest Position Held (if any)
Yacht Information

Please include yachts and vessels of all sizes

All fields marked with double asterix (**) are required for inclusion in Club Yearbook provided requirements are met for one of the designated Yearbook Categories (please see Club Yearbook for further details)
Do you own any yachts? (please include yachts and vessels of all sizes)
Please use Imperial scale (feet, inches) for all measurement data
Yacht Name**
Home Port
City, State/Country
Primary Propulsion**
Is this yacht partially owned by non-NYYC member?**
Length (overall)**
Format: Feet-Inches
Length (waterline)**
Format: Feet-Inches
Beam**
Format: Feet-Inches
Draft**
Format: Feet-Inches
Year Built**
Builder**
Designer**
Hull Material or Construction
Hull Color**
Class**
Sail Number**
Rig Type**
Do you have another yacht to enter?
Please use Imperial scale (feet, inches) for all measurement data
Yacht Name**
Home Port
City, State/Country
Primary Propulsion**
Is this yacht partially owned by non-NYYC member?**
Length (overall)**
Format: Feet-Inches
Length (waterline)**
Format: Feet-Inches
Beam**
Format: Feet-Inches
Draft**
Format: Feet-Inches
Year Built**
Builder**
Designer**
Hull Material or Construction
Hull Color**
Class**
Sail Number**
Rig Type**
Do you have another yacht to enter?
Please use Imperial scale (feet, inches) for all measurement data
Yacht Name**
Home Port
City, State/Country
Primary Propulsion**
Is this yacht partially owned by non-NYYC member?**
Length (overall)**
Format: Feet-Inches
Length (waterline)**
Format: Feet-Inches
Beam**
Format: Feet-Inches
Draft**
Format: Feet-Inches
Year Built**
Builder**
Designer**
Hull Material or Construction
Hull Color**
Class**
Sail Number**
Rig Type**
Do you have another yacht to enter?
Please use Imperial scale (feet, inches) for all measurement data
Yacht Name**
Home Port
City, State/Country
Primary Propulsion**
Is this yacht partially owned by non-NYYC member?**
Length (overall)**
Format: Feet-Inches
Length (waterline)**
Format: Feet-Inches
Beam**
Format: Feet-Inches
Draft**
Format: Feet-Inches
Year Built**
Builder**
Designer**
Hull Material or Construction
Hull Color**
Class**
Sail Number**
Rig Type**
Do you have another yacht to enter?
What do you like to do with your yacht(s)? (Check all that apply)
For any additional yachts to enter please contact the Secretary's Office for additonal yacht forms
Interests and Activities

The Club frequently offers lectures, seminars, presentations, tours and classes on a variety of subjects. If a live event were to feature one of the following topics, how likely would you be to attend?

Rows	Very Likely	Somewhat Likely	Unsure	Somewhat Unlikely	Very Unlikely
Racing Rules & Tactics
Safety at Sea
Race Management
Yacht Design
Preview/Review of Major Sailing Events
Accomplished Sailors
Club History & Heritage
Author Presentations/Book Discussions
Club Collections (Art, Trophies, Models, etc.)
Tours of Related Institutions in NYC and Newport

How engaged are you with the following interests outside of yachting?

Rows	Very Interested and Actively Engaged	Somewhat Interested or Engaged	Slightly Interested	Not Interested at All
Classic & Specialty Automobiles
Classical Music
Live Theater & Performance Art
Food, Wine & Cooking
Adventure Travel
Photography
Gardening
Fine Art Collecting
Home Renovation & Architecture

Are there any other topics or areas of interest on which you would like to see the club focus activity?
The Club offers several ways in which to become involved with both other members and club activites through volunteer work, ad-hoc projects and formal committees. Which, if any, of the following club activities, could you foresee yourself seeking to become involved with in the future? (Please consider this simply an expression of interest)

Other

How Frequently do You Use the Following:

Rows	Every day	Once a week	Once or twice a month	Rarely (few times a year)	Never
Facebook
Twitter
Instagram
Pinterest
Tumblr
Yacht Club website (if you belong to one previously)

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