Lake Samsonvale Water Sports Association.
Membership Application Form

Please complete the following details, sign the form and return this page with your subscription to …
Membership Secretary, PO Box 212,Strathpine, Qld 4500, or email to

Last Name I am a full time student: Student Number ______

First Name Membership discount applies up to age 25 years

Middle Name I am a pensioner: Pension number ______

Preferred NameMembership discount applies.

Spouse Name

Postal Address

Mailing Initials

Children under 18

Occupation

Home Phone

Work Phone

Mobile Phone

Email Address

Power Boat Licence

I own these vessels, and those stored on-site will be charged the storage fee

Class (Mirror, Calypso, Nacra, Canoe etc) / Boat name / Sail Number / Trailer Reg / Insurance Company / Insurance Date Due / Policy Number

Fees Now Due

Membership Fee$180.00, $90 after March 1st, $45 after June 1st

Maintenance Levy$75.00Not charged after the 6th year of membership

On-siteBoat Storage$200.00 for boat park bay, $100 for undercover rack, if available

TOTAL$______

You may pay by direct deposit (use your Surname as the bank reference), but your membership will not be activated until this form is received and your application approved by the Management Committee

Account Name: Lake Samsonvale Water Sports Association, Inc. BSB: 034077 Account Number: 308842

Paid by Direct Deposit date:Paid by Cheque No:Date:

I agree to be bound by the Rules and By-Laws of the Lake Samsonvale Water Sports Association Inc. and any amendments, alterations and additions that may be made thereto.

I agree that the LSWSA Inc. its officers, members and volunteers accept no liability for the loss of life, property, personal injury or damages caused by or arising out of participation in, or the conducting of, any event or other activity. I have undertaken to read and familiarise myself with the Rules and By-Laws and will ensure that these Rules and By-Laws are adhered to by myself, my active family members, and any guest that I invite.

Date ______Signature ______(if returning electronically insertion of a date represents acceptance of conditions)

Notes:

Lake Samsonvale Water Sports Association …

Please keep this page and the By-Laws for your records … submit just Page 1

SECURITY

A key will be issued to you. This will give you access to the gate, clubroom and toilets. Please maintain the security of the lake area by escorting your guests to and from the gate … do not leave the key in a spot for others to use

Your membership maintains our facilities. Please keep the key for your exclusive use. If your friends like the lake and the facilities provided, encourage them to join for themselves.

ABOUT BOAT STORAGE

Vessels to be stored on the lease shall be registered with the membership secretary and a permit obtained. Please note the following conditions apply to all vessels stored on the lease:

  • only financial members are entitled to store vessels on the lease.
  • only vessels in a seaworthy condition may be stored on the lease.
  • only minor running repairs allowing the vessel/s to compete or participate in an event are to be performed on the lease. All major works are to be done off site.
  • the designated storage areas are the only places where a vessel may be stored;
  • the vessel and surrounding area must be kept in a tidy condition by the vessel owner at all times.
  • LSWSA will undertake cutting of grass … the vessel must be on a trailer which is capable of being moved easily.

It is a term of our lease that we undertake to uphold these conditions. Failure to uphold any of these conditions may require the vessel to be removed from the lease. Any vessel owner disregarding written notification to remove the vessel from the lease may at the discretion of the LSWSA Executive Committee incur charges for the removal and/or forfeit ownership of the vessel.

VOLUNTARY RESCUE BOAT DUTIES

Although only official powerboats are allowed on the lake, we keep a register of members possessing powerboat licences. Please provide your licence number on the application form.

WORKING BEES

Attendance at one or two working bees each year is requested. A rebate of $20 is applicable for each attendance. In the notes section of page one, please give an indication of any skills that may contribute towards assistance for the Association

FEEDBACK

We would appreciate knowing how you became aware of the Association, what prompted you to join and what activities you wish to become involved in. Please give a brief outline in the notes section of page one.

Bob Rankin, Membership Secretary

Lake Samsonvale Water Sports Association … By-Laws

The Association operates on a lease from the South East Qld Water Corporation. The terms of the lease require us to abide by the following rules. Please assist us by reading and complying.

  1. A Key will be issued to you. This will give you access to the gate, clubroom and toilets. Please maintain the security of the lake area by escorting your guests to and from the gate... do not leave the key available for others to use.
  2. The Main entry gate off Winn Road is to be kept locked at all times. Keys must not be used by Non-Members.
  3. Personal Floatation Devices (Types 1, 2 or 3) are to be worn at all times when on the water by all persons, except the occupants of rowing shells.
  4. No swimming, fishing or similar activities are permitted.
  5. No motors are allowed to be used on boats except, those on official rescue boats.
  6. The LSWSA lease covers the mowed area on the point near the clubhouse only. Members are not to leave the main access track on any side tracks under any circumstances.
  7. Camping is not permitted in tents, caravans or any other manner.
  8. No dogs or other domestic animals are allowed.
  9. All on-water activities are prohibited between sunset and sunrise.
  10. No access is permitted to the restricted water area in the vicinity of the overhead power line to the East of the Club land. The line of restriction between two headlands may be marked by buoys.
  11. Lake Samsonvale Water Sports Association will not be responsible for individual insurance claims. It is recommended that Public Liability Insurance be held by the operator of any boat, craft or vessel used on the lake.
  12. A speed limit of 40kms/hr applies to all vehicles, as do the normal road rules including the wearing of seat belts and the prohibition of persons riding on the outside of vehicles and trailers. Drivers MUST have a current licence to drive a Motor Vehicle.
  13. Vehicles may only be parked parallel to the waters edge.
  14. No fires may be lit except in the constructed fireplaces provided.
  15. Lake water must not be used for human consumption, cooking or food preparation. Boiling the water does not remove toxins.
  16. Members are responsible for the conduct of their visitors. Non-members are permitted to visit a
    maximum of three (3) times after which they are required to join the Association.
    (Members of other clubs invited for regattas are exempt).
  17. Members are NOT to land boats on any land not in the Lake Samsonvale Water Sports Association Lease (i.e. the immediate vicinity of the Clubhouse & rigging area) except in emergency situations. All other foreshores & islands are private property & it is trespassing to enter these lands.
  18. NO LITTERING …. Please Use the bins provided or take your rubbish with you.
  19. Members are to display a Lake Samsonvale Water Sports Association Sticker on their craft if in the
    Dayboro Reach of NorthPineRiver – also used by Pine Rivers Fishing Club. This is especially
    important for all forms of Paddle / Oar Powered Craft.
  20. Minors MUST be supervised by a responsible adult at all times.