Online Member Application Form

Central Florida Cruise Club

Membership Application

Captain's Last Name (required): First Name:

1st Mate's Last Name: First Name:

Crew Members:

Address (required): City (required): Zip (required):

Home Phone: Work Phone:

Captain's Cell Phone: email:

1st Mate's Cell Phone: email:

Boat Name:

Make: Model:

Power:     Length:     Beam:

Color: Registration Number (required):

The requirements for membership, as stated in the By Laws, include the participation in one cruise, attendance at one club meeting and sponsorship by an active member. Please note your qualifications below:

Cruise Date: Meeting Date:

Sponsor Name:


In consideration of the opportunities given to me and all persons on my vessel by the Central Florida Cruise Club, Inc., its Officers and Board of Directors, I do hereby release the Central Florida Cruise Club, Inc, its Officers and Board of Directors, from all actions and causes of action, suits, claims and demands for damages that occur to me by virtue of my participation in any Central Florida Cruise Club event, to any occupant of my vessel, or to my vessel, motor, trailer, or any other equipment owned by me which I have or which any of the above named persons or their successors, heirs or assigns hereafter may have against the Central Florida Cruise Club, Inc., its Officers and Board of Directors, from the signature date below until I am no longer a member of the Central Florida Cruise Club, Inc.

Insurance Carrier (required): Policy Number (required):

I understand that CFCC encourages all members to maintain a policy of Liability Insurance for the protection of other boaters and their property against injury or damage caused by my boat, operated by myself or others, during club activities.

Applicant Signature (required):

New members are encouraged to complete a boating safety course. If available, please enter the boating safety course information below.

Course Name: Certificate Number :