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Membership
- Apply For Membership
Events
Galleries
Blogs
Contact Us
Log In

Lighthouse Point Saltwater Sportsman Association

Member Application

Please use the following form for new club memberships or to renew an existing membership.

"*" indicates required fields

Name*

First Last

Home Phone*

Cell Phone

Spouses Name

If applicable

First Last

Company Name

Please enter your Company name if applicable

Do You Have Children*

Yes

How Many children Do You Have?

Childrens Ages

List your children’s ages separated by commas.

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Date Of Birth*

MM slash DD slash YYYY

Your Occupation*

Boat Information

Boat Name

Boat Length

Boat Type

Boat Manufacturer

Club Information

Sponsoring Member (1)

Sponsoring Member (2)

Select Your Activity Interest(s)*

Fishing

Diving

Social

Meetings

Administrative

Select Your Shirt Size

Tell us why you would like to join LHPSSA*

New Member Login Information

Complete the information below to login to our members only sections. Your PASSWORD will be automatically generated and emailed to you.

Select A Username*

This will be your username for logging into the member site.

Select A Display Name*

This is how your name will appear on your profile.

Phone

This field is for validation purposes and should be left unchanged.

"*" indicates required fields

Name*

First Last

Home Phone*

Cell Phone

Spouses Name

If applicable

First Last

Company Name

Please enter your Company name if applicable

Do You Have Children*

Yes

How Many children Do You Have?

Childrens Ages

List your children's ages separated by commas.

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Date Of Birth*

MM slash DD slash YYYY

Your Occupation*

Boat Information

Boat Name

Boat Length

Boat Type

Boat Manufacturer

Club Information

Sponsoring Member (1)

Sponsoring Member (2)

Select Your Activity Interest(s)*

Fishing

Diving

Social

Meetings

Administrative

Select Your Shirt Size

Tell us why you would like to join LHPSSA*

New Member Login Information

Complete the information below to login to our members only sections. Your PASSWORD will be automatically generated and emailed to you.

Select A Username*

This will be your username for logging into the member site.

Select A Display Name*

This is how your name will appear on your profile.

Comments

This field is for validation purposes and should be left unchanged.

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Lighthouse Point Saltwater Sportsman AssociationMember Application

Boat Information

Club Information

New Member Login Information

Boat Information

Club Information

New Member Login Information

Lighthouse Point Saltwater Sportsman Association

Member Application