WAC MEMBERSHIP FORM

MAIN MEMBER *
MAIN MEMBER
PARTNER'S NAME
PARTNER'S NAME
Child's Name
Child's Name
Birth Date
Birth Date
Child's Name
Child's Name
Birth Date
Birth Date
Child's Name
Child's Name
Birth Date:
Birth Date:
Child's Name
Child's Name
Birth Date
Birth Date
Address *
Address
Mobile Phone Number *
Mobile Phone Number
Home Phone Number
Home Phone Number
Membership fees* (non-refundable) please check one: *
Please note that membership fees are neither pro-rated or refundable. Please use the payment slip (Einzahlungsschein) that will be sent to you to pay. Your membership will be AUTOMATICALLY RENEWED for the following year unless a written cancellation is received by December 10th.
How would you like to participate? *
Online Signature* *
YOUR BENEFITS AS A MEMBER - participation in our club and school social and educational activities for the whole family (subject to individual fees) - Free classified adverts in the monthly newsletter - Reduced fees on rental of Clubroom for social functions - Use of the library (book rental free, DVD rentals subject to charge) - Attendance of special events free of charge or at a reduced rate (e.g Annual BBQ) - Members are required to read the Women's Activity Handbook and agree to abide by its Constitution and Bylaws, the rules and regulations contained therein, and consent to their details being published in the Membership Directory (not for distribution to third parties)