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Roster Questionnaire 2025
Submit this questionnaire only if you have revisions for the 2025 CYC Membership Roster by January 31, 2025
Roster Questionnaire
Name:
Address:
*
City, State, Zip:
*
Phone Number:
*
(
)
-
First three digits
Second three digits
Last four digits
E-mail:
*
Spouse's Name:
Date of Birth:
Spouse's E-mail:
Spouse's Phone Number:
(
)
-
First three digits
Second three digits
Last four digits
Children's Name:
Date of Birth:
Children's Name:
Date of Birth:
Children's Name:
Date of Birth:
Business Phone Number:
(
)
-
First three digits
Second three digits
Last four digits
Boat Name:
Model: