New Membership

Legal First Name

Last name:

Preferred Name:

Birthday

Month

Day

Year

Spouse/Partners Legal First Name:

Last Name

Preferred Name:

Email: will be used to send invoices, updates , & meeting information .

Email

Phone

Address

Children/Grandchildren First Name & Ages (under 21) :

Membership Fees: Select One

$225 New Membership

$205 Veteran New Membership

$185 New Member After Aug 1st

Number of Boat Stickers needed. ($10 per boat/yearly)

I don't need this

1 sticker, I will include $10 in my fees

2, I will include $20 in my fees

3, I will include $30 in my fees

4, I will include $40 in my fees

Includes ANY kind of Boats, Kayaks, Canoes, & Coast Guard Approved Rafts

Golf Cart Stickers Needed ( $25 per Cart)

I do not have a Golf cart

1 Sticker Needed, will include $25

2 Stickers Needed, will include $50

After 1st Year, yearly renewal is $10 per Cart. Proof of insurance required and consent will need signed prior to issuing stickers.

This is a checkbox. If you would like to be added to our Permanent Site waiting list

I understand that all Memberships will be awarded after a background check has been completed and passed.

Payment:

Cash/Check-Mailed to Club, PO Box 26, Alpha IL 61413

Cash/Check- Will place in drop box on side of bathhouse at Lake

Venmo : @Crescent-Lake

Total Fees: Please let us know how much you have placed in drop box, sent to address , or sent Venmo.

Get in Touch

123-456-7890