Expired Membership Reinstatement Form

To start the reinstatement process, please complete the form below. Your reinstatement application is pending approval and will be reviewed at the upcoming Board of Directors meeting. As stated in KYC Bylaw 9:

Leaves of Absence & Special Leave

1. Providing they have not done so in the last twelve (12) months, any Regular Member in good standing, upon written notification to the Club office no later than October 31, can decide not to renew their Membership for the ensuing year, and may, on or before the first (1st ) business day of November of the next Membership year, re-apply for Regular Membership and, if required, moorage subject to the waitlist like any new Member, without payment of another Initiation Fee.
2. Any Member in good standing may apply in writing to the Board for a special leave of absence “Special Leave”, which can be no greater than four (4) years. If granted, all Club privileges will be suspended during a Special Leave, including moorage. On return, the Member may apply for reinstatement and moorage as required, subject to the waitlist like any new Member. No further Initiation Fee will be payable on return from a Special Leave.

Expired Membership Reinstatement Application

Member Information

I, the Primary Member, will be the main contact *

• I, the Primary Member, will be the main contact and decision maker for the membership, including all financial, membership or moorage adjustments.

Indicate which membership you are reinstating: *

• Regular
• Corporate
• Lifestyle
• Other

Other: *

Please write in your membership type.

Member Number *

Name *

First

Last

Address *

Address Line 1

City

State / Province / Region

Postal Code

AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountry

Cell Phone *

Email *

Birth Date *

Marital Status *

• Married
• Single
• Divorced
• Widowed
• Separated
• Common Law

Would you like to extend membership, including its rights, privileges, and duties, to a spouse as defined by the BC Family Law Act. *

• Yes, I’d like to add my spouse, who will be my associate member.
• No, I do not wish to add a spouse at this time at this time

Separation *

• I understand that, in the event of a separation, should the Primary and Associate Members both wish to maintain membership at the Club, the Primary Member assumes the existing membership including the moorage (if applicable), prepaid spend, and any outstanding dues and fees. The Associate Member would be required to apply as a new member including paying the current initiation fee, and the applicable membership dues and fees.

Primary Member Acknowledgements *

• Yes, I understand that only those who are officially listed on my membership have use of amenities including, (but not limited to) use of the Member Lounge, Prepaid Spend, and basin.
• Yes, I would like to volunteer for Club functions
• Yes, I agree my photo(s) can be published in Club promotions
• Yes, I would like info on company advertisement and sponsorship at the Club

Spouse Info

Spouse's Name *

First

Last

Spouse

Spouse's Email *

Spouse's Birth Date *

Spouse's Cell Phone *

Spouse's (Associate Member) Acknowledgements *

• Yes, they would like to volunteer for Club functions
• Yes, I agree there photo(s) can be published in Club promotions

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Would you like to extend membership, including its rights, privileges, and duties, to a child(ren) under 19 years of age, and in my immediate family. *

• Yes, I’d like to add child(ren) under 19 years of age
• No, I do not wish to add anyone at this time

How many children under 19 years of age, and in your immediate family, would you like to extend membership privileges too? *

• One
• Two
• Three
• Four

If you have more than four children in your immediate family please contact KYC member services.

First Child's Name *

First

Last

Child 1

First Child's Email

First Child's Birth Date *

First Child's Cell Phone

First Child Member Acknowledgements *

• I am interested in my child in volunteering at KYC. Please continue to provide information on how my child can get involved.
• I hereby give permission for the use of my child’s photo(s) for Club promotional purposes, either in-print or online.

Second Child's Name *

First

Last

Child 2

Second Child's Email

Second Child's Birth Date *

Second Child's Cell Phone

Second Child's Member Acknowledgements *

• I am interested in my child in volunteering at KYC. Please continue to provide information on how my child can get involved.
• I hereby give permission for the use of my child’s photo(s) for Club promotional purposes, either in-print or online.

Third Child's Name *

First

Last

Child 3

Third Child's Email

Third Child's Birth Date *

Third Child's Cell Phone

Third Child Member Acknowledgements *

• I am interested in my child in volunteering at KYC. Please continue to provide information on how my child can get involved.
• I hereby give permission for the use of my child’s photo(s) for Club promotional purposes, either in-print or online.

Fourth Child's Name *

First

Last

Child 4

Fourth Child's Email

Fourth Child's Birth Date *

Fourth Child's Cell Phone

Fourth Child Member Acknowledgements *

• I am interested in my child in volunteering at KYC. Please continue to provide information on how my child can get involved.
• I hereby give permission for the use of my child’s photo(s) for Club promotional purposes, either in-print or online.

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Fee Schedule

Fees and services may change without notice. Annual membership expenses consist of dues, fees, and assessments. For applications approved following November 30th, select annual expenses are subject to prorated pricing for the first fiscal year of membership.

Fee Acknowledgements *

• I understand that the membership years run November 1 to October 31 and is automatically renewed. (posted rates will apply)
• I understand that the annual Prepaid Minimum Spend will expire annually on October 31st.
• I understand that there is a $250.00 + GST reinstatement fee and that my reinstatement must be approved by the Board of Directors.

Dues / Fees Payment Options

You have the option to pay monthly or annually. Please select your payment schedule option. *

• Monthly
• Annually

Billed Monthly *

• Monthly from pre-authorized debit (Appendix A – required)
• Monthly from Credit Card (Appendix B – required)

Download Financial Forms – Monthly Payment

Download Appendix A – PAD Form

Download Appendix B – PAC Form – Monthly

Annually – billed on November 1st *

• Annually from pre-authorized debit (Appendix A – required)
• Annually from Credit Card (Appendix D – required)
• Annually (Bill Me)

Download Appendix A – PAD Form

Download Appendix D – PAC Form – Annual

Moorage

Will you be seeking moorage *

• No
• Yes

Once approved for membership, if you are interested in moorage, please complete the Wait List application located on our website. Once you apply, a $250 moorage waitlist deposit will be charged to your House Account.

Moorage waitlist acknowledgement *

• I understand that Moorage is separate from a KYC membership and I am responsible for adding myself to the Moorage waitlist

Signatures

This membership reinstatement request and this application will be presented at the next scheduled board meeting, and we will be in touch with their decision as to your membership status. Once approved, as a Member of the Kelowna Yacht Club, you agree upon acceptance of membership to be governed by the Code of Conduct & Regulations of the Kelowna Yacht Club, the Club Bylaws and Policies as set forth by the membership and Board of Directors, and declare all particulars shown are correct.

Checkboxes *

• I understand that if my reinstatement is approved by the Board of Directors, I agree to pay the full current fiscal year’s Annual Member Dues, and all other fees, assessments or debts as required by Club Policies, including a $250.00 + GST reinstatement fee.

Full Name *

By typing out my full name, I acknowledge that I have read, understand and agree to the terms and conditions stated in this electronic form. I further understand that a signature card must also be submitted for reference and that this electronic form and the submitted signature card will have the same legal effect.

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