Personal Information

Name (s)

Children's Names & Ages

My information has changed since last year (Circle one)   YES    NO   (If  YES, complete the following)

Primary Address

Primary Phone

Secondary Address

Secondary Phone

Email Address(es)*

                May we publish your email address in the 2018 BLYC Dinghy? (Circle one)  YES  NO

*Your email address helps the BLYC and FOBL quickly keep you up to date on lake related activities

and important information. We will not publish your email in the Dinghy without your permission.

Annual Dues

Membership Type                                            Membership Level

                                                                       Family            Individual

Lake Resident Membership                           $300                   $150

​Social Membership (no launch privileges)    $100                     $50

Late Fee if paid after April 15, 2018               $25                     $25

​2018 Membership Dues Submitted:               $

Mail check to:


PO Box 213

​Hartland, WI 53029

Beaver Lake Yacht Club 

PO Box 213

Hartland, WI 53029

Beaver Lake Yacht Club

P.O. Box 213 * Hartland, WI 53029

2018 Annual Dues

Please complete and return by April 2018