Application - NEW MEMBERSHIP

Membership Dues
Out of State - $10
Single - $30
Single Parent - $35
Couple - $40
Family - $45
Annual dues are paid in January. Your membership amount will be good through the end of the next year.

Membership Type

First Name:
Last Name:
Birthdate:

Street Address:
City: State: Zip Code:

Phone:
Alternate Phone:
E-mail:

Please share my contact information with other club members

Spouse/Partner Name: Spouse/Partner Birthdate: Spouse/Partner e-mail:
Child Name: Child Birthdate:
Child Name: Child Birthdate:
Child Name: Child Birthdate:

Agree to Code of Conduct

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Comments:

How would you like to pay?