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Application for Membership
The Manatee-Sarasota Mako Owners Club has been established to serve the interests of Mako boat owners and other brands of boat owners and their families, to promote safe boating, conservation, and family fun activities.

I/We are making application for Membership. Yearly membership cost is $40.00.
Boat name: __________________________Length_____ Year _____Type____________________ 
Your name:_______________________________________________D.O.B.___/___/___ Age_____ 
Spouse: _________________________________________________D.O.B.___/___/___ Age_____
Children/youth' under age 18, "Anglers and Mates" 
Name: __________________________________________________D.O.B.___/___/___ Age_____ 
Name: __________________________________________________D.O.B.___/___/___ Age_____ 
Name: __________________________________________________D.O.B.___/___/___ Age_____ 
Name: __________________________________________________D.O.B.___/___/___ Age_____ Name: __________________________________________________D.O.B.___/___/___ Age_____
Mailing Address:___________________________________________________________________ 
City: _______________________________ State:______ Zip:___________ 
E-Mail Address (required):___________________________________________________________ 
Home phone: (___)_________________ Business:(___)_____________Cell: (___)________________ 
In case of emergency please notify: _____________________________________________ 

CONSENT: The signatory hereto, including the owner of the Mako or members guests, hereby consent to the photographing of the boat(s), its equipment, passengers, participants, anglers, catch, etc., through the entire membership period. that said photographs may be used by the clubs sponsor(s) in promotional and advertising material in any way otherwise not unlawful with consent of the vessel and persons photographed is hereby acknowledged. 
(Applicants will not be refused for lack of consent to photograph and the possible use of said photographs as described above. Please check if you consent or non-consent, as you desire, otherwise your signature on this document will ratify and confirm your consent as above written) _____Consent _____Non-Consent 

RELEASE: All signatory to this document hereby agree and understand that Mana-Sota Mako Owners Club, and it's Sponsor(s), acting as the sponsor of any gathering, be it scheduled or not, do fully release, indemnify and hold harmless Mana-Sota Mako Owners Club, the Sponsor, from any negligence, contractual and intentional tort liability caused by or the fault of any person or entity. Mana-Sota Mako Owners Club, the Sponsor, is hereby released from any responsibility whatsoever for any decision, action or inaction of applicants, members, boats or other participants. * Parent/guardian must sign for any member under 18. 


Application, Page 2,

______________________________________ X________________________________________ Date____________ 
Boat owners name (please print) Signature 

______________________________________ X________________________________________ Date____________ 
Crew name (please print) Signature 

______________________________________ X________________________________________ Date____________ 
Crew name (please print) Signature 

______________________________________ X________________________________________ Date_________ 
Crew name (please print) Signature 

______________________________________ X________________________________________ Date____________ 
Crew name (please print) Signature 

______________________________________ X________________________________________ Date____________ 
Crew name (please print) Signature 

______________________________________ X________________________________________ Date_________ 
Crew name (please print) Signature 

Dues Rec’d. $40.00 by __________________________________Date___________


e-mail: Treasurer@ManasotaMako.com, website: www.ManasotaMako.com