Request Website Access Already an FJYC Member? Request Access to the FJYC Website 1 MEMBER ONE2 MEMBER TWO3 FAMILY INFO4 MEMBERSHIP INFO5 BOAT INFO6 ACCOUNT LOGIN Member OneThis will be the primary contact. Fields denoted with a (*) are required.Member One Full Name* Prefix Mr.Mrs.MissMs.Dr.Prof.Rev. First Last Suffix Member One NicknameMember One Email* Member One Cell Phone*Member One CompanyMember One Title/PositionMember One Business AddressMember One Business Address 2Member One Business CityMember One Business StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificMember One Business ZipcodeMember One Work Phone Member TwoAdd another member?*YesNoMember Two Full Name* Prefix Mr.Mrs.MissMs.Dr.Prof.Rev. First Last Suffix Member Two NicknameRelationship to Member One*SpouseSignificant OtherMember Two Email* Member Two Cell PhoneMember Two CompanyMember Two Title/PositionMember Two Business AddressMember Two Business Address 2Member Two Business CityMember Two Business StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificMember Two Business ZipcodeMember Two Work Phone Family InformationHome Address*Home Address 2*Home City*Home State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificHome Zipcode*Home Phone*How many children do you have younger than 26?Please list all your children younger than 26 and the year they were born. (ie. Jack, 2010) Membership InformationMembership Type*Regular MemberAssociate MemberJunior MemberCruising MemberHonorary MemberCharter MemberYear Joined FJYC*Catalina Island Conservancy Member?YesNoCommodore at FJYCHave you served as Commodore for FJYC?YesNoYear Served as CommodorePlease indicate the year you served as Commodore. Boat InformationDo you currently own a boat?*YesNoBoat NamePropulsionPowerSailLength (ft.)Make, ModelHome PortRegistration TypeUSCG COD #DMV CF #NumberFor example, "OU812"Catalina MooringHave a mooring? Please select which Cove your mooring is located in below. FJICCEBA Row (ex: C) Number (ex: 06) Account LoginUsername*Create your account username that you and your family will use to login.Create a Password*Create a password your family will remember. Enter Password Confirm Password Strength indicator Once logged in, you will have the opportunity to upload a family photo for your account. This photo will also be used for the printed FJYC Roster. Click on MEMBER PROFILE and in the dropdown, click on VIEW PROFILE. We strongly encourage you to upload a photo. CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
