Roster Questionnaire 2026

Submit this questionnaire only if you have revisions for the 2026 CYC Membership Roster by January 23, 2026.

Roster Questionnaire

Name:*	First & Last
Member Number:*
Date of Birth:*
Address:*
City:*
State:*
ZIP code:*
E-mail:*
Phone Number:*	()-First three digitsSecond three digitsLast four digits
Business Phone Number:	()-First three digitsSecond three digitsLast four digits
Boat Name:
Boat Model:
Spouse's Name:	First & Last
Spouse's Date of Birth:
Spouse's E-mail:
Spouse's Phone Number:	()-First three digitsSecond three digitsLast four digits
Domestic Partner's Name:	First & Last
Domestic Partner's Date of Birth:
Domestic Partner's Email:
Domestic Partner's Phone Number:	()-First three digitsSecond three digitsLast four digits
Child's Name Under Age 23:	First & Last
Child's Date of Birth:
Child's Name Under Age 23:	First & Last
Child's Date of Birth:
Child's Name Under Age 23:	First & Last
Child's Date of Birth:
Child's Name Under Age 23:	First & Last
Child's Date of Birth: