New 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

Please indicate your 1st choice: Note, you will be asked to complete 3 separate choices in case your first committee choice is already full. Full Committee Descriptions can be found on the website at www.hjwc.us under About Us.

Tell us a little about yourself or a fun fact! (Have you recently relocated, what do you do in free time, etc...)

Do you have friends in the club currently or joining the club this year?

List 1-2 members you would like to be on a committee with.

Are you a member of other clubs, organizations, and/or associations? What is your involvement?

What experience or interests do you have that may be helpful to a club committee?

Skills/Products/Services Offered:

Share an individual photo of yourself (will be used in the 2022-2023 member directory). Please save the file as FirstName.LastName

Upload File

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New Member Application