Associate Member Application

First Name

Birthday

Street Address

State

Instagram Handle

Child 1 Name

Child 2 Name

Child 3 Name

Child 4 Name

Last Name

Phone

Street Address 2

Postal/ Zipcode

Member Occupation

Maiden Name (If Applicable)

Spouses Name (If Applicable)

City

Company

Child 1 Birthday

Child 2 Birthday

Child 3 Birthday

Child 4 Birthday

Do you allow your children to be pictured in HJWC social media postings for events in which your family attends?

I approve my child/children to be pictured in HJWC social media

I do not approve my child/children to be pictured in HJWC social media

Thank You! We'll Be in-touch.