WVYC Membership Application

***FEE is $30 PER PERSON***

(Please complete and deposit with your check
and Kayak waiver in the WVYC box in the leasing center
Make checks out to Watergate Village Yacht Club)

Todays Date:_________________________________________

Last Name:___________________________________________

First Name:___________________________________________

Watergate Address (Bldg/Apt) or Slip #:______________________________

If slip holder please provide mailing address:

_______________________________________________________________

City:________________________ State:_____________ Zip:______________

Email:__________________________________________________________

Phone Number:__________________________________________________

I am 21 or over. Please check box and sign below

___________________________________________________________

If you have a watercraft at Watergate, please answer below:

Type/Make:________________________Length:_______________________

Vessel Name:____________________________________________________