WELCOME WAGON SOCIAL CLUB
MEMBERSHIP FORM
New Member Renewing Member Year Joined ______________
Name ___________________________________Address ___________________________________
Phone Number _________________________
E-mail Address ________________________________
Birthday Month/Day _________________________ Husband's Name __________________________
Children's Names/Ages
_______________ ________________ _______________ ________________
Last Place of Residence
_________________________ Hometown _____________________________
Special Interests ______________________________________________________________________
Would you be available to help with various committees?
Yes No
Activities Offered: (circle those of interest to you)
|
Coffee Club | Golf | Movie Daze |
| Daytrippers | International Cuisine |
Social Bridge |
| Friday Night Out | Lunch Bunch |
Walk Group |
| Games | Lunching In | Wine and Cheese Night |
| Book Club | Theater | |
|
Suggestions for others: |