LHYC Information Database Change Form

This page is to inform the communications committee of changes to go in the Annual Program Book. Please enter the information requested, and click on the submit button below. Please note that only children who are under the age of 23 and living at home (or away at school) are listed with your family in the program book.

Please provide the following contact information:

Name

Home Phone

E-mail

Please click in left box for all information that is to be changed in club records, and enter information in right-hand box :

Last Name
First Name
Middle Initial
Suffix
Spouse Name
Children's Names	Date of Birth:
(if under age 23)	Date of Birth:
	Date of Birth:
	Date of Birth:
	Date of Birth:

Address	Street or PO Box
	City StateZip
Home Phone
Summer Phone
Fleet
Boat Number
Boat Name
Committee
Year Joined LHYC
Other

Additional email addresses to receive LHYC updates:

E-mail
E-mail
E-mail

Please enter any other information that is to be changed:

Name
Home Phone
E-mail

LHYC Information Database Change Form

Revised: 01/06/07