CABRILLO BEACH YACHT CLUB
 
Junior Membership Application Fee: $30.00

Type: 
   
Payment Options:   
 
Junior Applicant
   
Name: 
Date of Birth: 
Mobile Number: 
Email: 
   

Parent/Guardian
   
Name: 
Mobile Number: 
Email: 
Relationship To Junior:   

Primary Residence
   
Address 1: 
Address 2: 
City: 
State: 
Zip Code: 

  
Signatures
   
Junior: 
Date: 
   
Parent/Guardian: 
Date: