Clear Lake Shores Civic Club Membership Form

Name*

First NameLast Name

Spouses Name

First NameLast Name

Email*

example@example.com

Spouses Email

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Spouses Phone Number

Please enter a valid phone number.

Children's Names and Ages

May we use your e-mail to notify you of Civic Club events?*

YesNo

May we share your information with City Hall for city communications?*

YesNo

Volunteer Interests (Check all that apply)

Clear Lake Shores Civic Club