Reinstatement Application

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. Any Regular Member in Good Standing, upon written notification to the Club office, may take a one year leave, in accordance with Club Policy.
2. Any Member in Good Standing may apply for a “Special Leave” in accordance with Club Policy.

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 *

Date / Time

The default date for a KYC membership reinstatement is October 31. You may reinstate at any time, but it will always be effective on the first of the following month. Please select the month you wish to come back here. Please note, your reinstatement must be approved by the board.

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

Email *

Cell Phone *

Birth Date *

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. Sharing of individual key cards is not permitted.
• Yes, I understand that those who are officially listed on my membership, 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
• Yes, I acknowledge and accept that the Club will send me, and others listed on my membership communications in a variety of formats including but not limited to emails, text messages, notifications through our app, newsletters, and phone calls.
• 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

Marital Status *

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

Add an associate member to your membership

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.

Spouse Info

Spouse's Name *

First

Last

Spouse's Email *

Spouse's Cell Phone *

Spouse's Birth Date *

Spouse's (Associate Member) Acknowledgements

On behalf of your spouse, would they like to volunteer for Club functions *

• Yes, they would like to volunteer for Club functions
• No, they are not interested in volunteering for Club functions

On behalf of your spouse, may their photo(s) be published in Club promotions *

• Yes, their photo(s) can be published in Club promotions
• No, please do not allow their photo(s) to be published in Club promotions

On behalf of your spouse, would they like info on company advertisement and sponsorship opportunities at the Club *

• Yes, they like info on company advertisement and sponsorship opportunities at the Club
• No, they are not interested on company advertisement and sponsorship opportunities at the Club

Extend membership to my children

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 after submitting your application.

First Child's Name *

First

Last

First Child's Email

First Child's Cell Phone

First Child's Birth Date *

First Child: Are you interested in your child volunteering at KYC. *

• Yes, please continue to provide information on how my child can get involved.
• No, my child is not interested at this time.

First Child: Do you give permission for the use of your child’s photo(s) for Club promotional purposes, either in-print or online. *

• Yes, you may use my child’s photo(s) for Club promotional purposes.
• No, please do not use my child’s photo(s) for Club promotional purposes.

Second Child's Name *

First

Last

Second Child's Email

Second Child's Cell Phone

Second Child's Birth Date *

Second Child: Are you interested in your child volunteering at KYC. *

• Yes, please continue to provide information on how my child can get involved.
• No, my child is not interested at this time.

Second Child: Do you give permission for the use of your child’s photo(s) for Club promotional purposes, either in-print or online. *

• Yes, you may use my child’s photo(s) for Club promotional purposes.
• No, please do not use my child’s photo(s) for Club promotional purposes.

Third Child's Name *

First

Last

Third Child's Email

Third Child's Cell Phone

Third Child's Birth Date *

Third Child: Are you interested in your child volunteering at KYC. *

• Yes, please continue to provide information on how my child can get involved.
• No, my child is not interested at this time.

Third Child: Do you give permission for the use of your child’s photo(s) for Club promotional purposes, either in-print or online. *

• Yes, you may use my child’s photo(s) for Club promotional purposes.
• No, please do not use my child’s photo(s) for Club promotional purposes.

Fourth Child's Name *

First

Last

Fourth Child's Email

Fourth Child's Cell Phone

Fourth Child's Birth Date *

Fourth Child: Are you interested in your child volunteering at KYC. *

• Yes, please continue to provide information on how my child can get involved.
• No, my child is not interested at this time.

Fourth Child: Do you give permission for the use of your child’s photo(s) for Club promotional purposes, either in-print or online. *

• Yes, you may use my child’s photo(s) for Club promotional purposes.
• No, please do not use my child’s photo(s) for Club promotional purposes.

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 year runs 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.

Membership 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)

If applicable, please complete the appropriate form. Link below.

Please Complete: APPENDIX A – Pre-Authorized Debit (PAD) Agreement

Please click the link below and complete the Appendix. The page will open up in a new tab.

APPENDIX A – Pre-Authorized Debit (PAD) Agreement

Please Complete: APPENDIX B – Pre-Authorized Credit (PAC) Monthly Billing Agreement

Please click the link below and complete the Appendix. The page will open up in a new tab.

APPENDIX B – Pre-Authorized Credit (PAC) Monthly Billing Agreement

Annually – billed on November 1st *

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

If applicable, please complete the appropriate form. Link below.

Please Complete: APPENDIX A – Pre-Authorized Debit (PAD) Agreement

Please click the link below and complete the Appendix. The page will open up in a new tab.

APPENDIX A – Pre-Authorized Debit (PAD) Agreement

Please Complete: APPENDIX D – Pre-Authorized Credit (PAC) Annual Billing Agreement

Please click the link below and complete the Appendix. The page will open up in a new tab.

APPENDIX D – Pre-Authorized Credit (PAC) Annual Billing Agreement

Moorage

Will you be seeking moorage *

• No
• Yes

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

Acknowledgements *

• I understand, 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.
• I understand, that 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.

Full Name *

By typing out my full name, I acknowledge that I declare all particulars shown are correct; 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.

Office Use Only

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