Application for Active Membership Application for Active Membership Type (Required): FamilyIndividual Name 1: Email 1: Cell 1: Name 2: Email 2: Cell 2: Name 1: Child/Children: Name: Age: DOB: Name: Age: DOB: Name: Age: DOB: Name: Age: DOB: Address Residence: Address Secondary: Address: City: State: Zip Code: Telephone: Previous association with MIYC other than Summer Privilege? (family, guest, other) Primary Sponsor #1 Primary Sponsor #2 Name: Name: Email: Email: Names of 3 membership & guest committee members that know you: 1) 2) 3) Boat Information: Name: Length: Make: