Clear Lake Shores Civic Club Membership Form

Clear Lake Shores Civic Club

Yearly Membership July 1-June 30
Member Information
Name *

First Name Last Name
Spouses Name

First Name Last Name
Email *
example@example.com
Spouses Email
example@example.com
Address *

Street Address

Street Address Line 2

City State / 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? *

Yes No
May we share your information with City Hall for city communications? *

Yes No
Volunteer Interests (Check all that apply)

Adult Christmas Party Back to School Party BBQ Cook Off Block Party Christmas Tree Celebration Easter Egg Hunt & Party Easter Sunrise Service Fishing Derby for Kids 4th of July Celebrations Community Wide Garage Sale Gumbo Cook-Off Halloween Party for Kids Ice Cream Social Island Clean Up Islander Mancakes Breakfast Mardi Gras Golf Cart Parade National Night Out Scholarship Committee Senior Recognition Steak & Sinatra Night Thanksgiving Dinner
Should be Empty:

Clear Lake Shores Civic Club