Cinema Lab Bravo Membership Application Form

Bravo Membership Application

Complete the form below to sign up for our membership service.
Name

First NameLast Name
E-mail
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date

MonthDayYear
Preferred way to contact

PhoneEmailAny
Business Info

Business NameNature of Business
Business Info: Continued

Work EmailBusiness Telephone Number
Asssistant's Email (if appropriate)
example@example.com
Reference

Name of refereeRelationship to referee
Referee EmailReferee Telephone Number
What do you believe you will add to The Playhouse member community?
What are you looking for in a member's lounge in New Canaan?
What is the appeal to being part of The Playhouse?
Application Rules
1. Membership is available to anyone 21 years of age or older.

2. Only one application per family please.

3. Upon acceptance, your membership will be secured for a one-year term. After the first year, your membership will transition to a flexible month-to-month plan

I hereby apply for membership of The Playhouse (and all subsidiary locations and
future locations under the Cinema Lab banner).
If accepted, I agree to be bound by the rules of the House.
• Please note that all sections must be completed in order for application to be
submitted to the committee. Any application missing requested information will
be deemed incomplete and not considered.
• All information will be treated in the strictest confidence.
I have read, understood, and accepted the rules for membership.
Signature

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Bravo Membership Application Fee Application Fee is non-refundable. If you initially fail to be selected, it will be applied to your application as and when you are.
$1,500.00 Max

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty:

Bravo Membership Application

Application Rules