Member Application Rev

New Membership

The Membership year is January thru December and (Membership covers the entire family and children under 21)

Price:

$60

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Email:* Email is Required

Phone (Mobile):* Phone (Mobile) is Required

Spouse/Partner First Name: Spouse/Partner First Name is not valid

Spouse/Partner Last Name: Spouse/Partner Last Name is not valid

Spouse/Partner Email: Spouse/Partner Email is not valid

Children's First Names / Birth Years: Children's First Names / Birth Years is not valid

Referred by: Referred by is not valid

Do You Own a Boat?: Do You Own a Boat? is not valid

Club Activities Volunteer (Hold Ctrl. Key for Multiple Selections): Club Activities Volunteer (Hold Ctrl. Key for Multiple Selections) is not valid

I acknowledge that periodic newsletters, announcements and information about our Club and Club sponsors will be communicated to me via email.*

All applicants must electronically sign the following waiver of liability as a condition of participation in the Flagler County Sportfishing Club. For good and valuable consideration on behalf of myself, my heirs, executors and administrators, I do hereby release and forever discharge the Flagler County Sportfishing Club, its officers and directors from any liability for injuries of damage arising from a Flagler County Sportfishing Club activity.*

I acknowledge that Club Dues are $70 annually (for new members dues are prorated quarterly starting in the 2nd Qtr. at $60 and $50 in the 3rd & 4th Qtr. The Club Year runs from January 1 – December 31 of each year. In addition, this is a family membership for spouses/partners and children under 18 years of age.*

I acknowledge that at this clubs events or related activities I may be photographed / videoed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the Flagler Sportfishing Club & its Sponsors.*

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

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New Membership

Flagler Sportfishing Club Annual Sponsors

Flagler Sportfishing Club

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