My Q Information and From - The Cleveland Yachting Club

This form is used to grant access to the My Q app for additional household members—such as a spouse, significant other, or dependents who are listed on your membership account. All fields are required.

Each additional household member must have a valid cell phone number. Please complete a separate form for each individual.

Member Name:*	First & Last Name
Member Number:*
Member E-mail:*
Member Phone Number:*	()-First three digitsSecond three digitsLast four digits
Additional Household Members:*	Choose One
Additional Member Name:*	First & Last Name
Additional Member Phone Number:*	()-First three digitsSecond three digitsLast four digits
Additional Member E-mail:*