Club Membership Registration Form

2025-2026

Blacksburg Newcomers Club Membership Form

A Social Club Focusing on Building Friendships & Community

Membership is open to all residents of the New River Valley area.

Dues for our program year are $30.00/per household.
Are you new or renewing?*

NewRenewal
Name*

FirstLast
Birthday Month
Month
Birthday Day
Day
E-mail*
Phone Number*

Area CodePhone Number
Spouse/Partner name

First NameLast Name
Spouse/Partner E-mail address
Only required if they choose to receive ALL Newcomers Communications including our Weekly eNews
Spouse Phone Number

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Emergency Contact: Name

First NameLast Name
Emergency Contact: Phone

Area CodePhone Number
How did you hear about us?*

Referred by ______WebsearchFacebook/InstagramNew River PublicationLocal EventOther
Which Event?
Which Publication?
Referred by
Interest Groups:

NEW MEMBERS: Please select any or all interest groups you would like to receive information. RENEWING MEMBERS: Please check all the groups you would like to continue participating in, as well as any new interest groups you'd like to join for the 2025-2026 membership year.
Available Interest Groups:*

Book Club: MorningBook Club: AfternoonBook Club: EveningBreakfast BunchCircle Supper GroupDrafted! (Beer tasting)Gadabouts (social outings in the community)Happy HikersLadies Dinner and DrinksLunch BunchMonday Mah JonggNeedleworksPaper Crafting/ScrapbookingWalking GroupWine GroupWednesday WritersVolunteer in the CommunityNone
In the future, would you consider getting more involved by serving as a Board Member, an Officer, an Interest Group Leader, or volunteer on a Committee?*

Board Member--President, VP, Treasurer, Historian, Parliamentarian, SecretaryOfficers--Membership, Social, Community Outreach, Hospitality, Interest Group, PublicityInterest Group LeaderCommittee Volunteer--e.g., Social, Community Outreach, HospitalityNot at this time!
Which committee would you like to help out with?
Which Interest Group?
DISCLOSURE:

Photographs of you taken during BNC sponsored events and activities may appear in one or more of our publicity and social media posts on our official Blacksburg Newcomers Club website, Facebook or Instagram pages, and/or in our weekly newsletters.Your e-mail address and other personal information will never be given out or sold to a third party. You may cancel your membership at any time.
Disclosure*

I/We understand the above Disclosure
Membership Rules
By applying for membership, I/We acknowledge that hazards are inherent in ALL activities, including without limitation hiking/walking, biking, and other BBNC sponsored activities. I/We acknowledge that participating in any BBNC sponsored activities carries with it certain inherent risks including but not limited to those related to COVID-19 and other respiratory disease transmissions that cannot be eliminated regardless of the care taken to avoid such risks. Therefore, in consideration of the benefits derived from my membership in the BBNC, I/We waive any claim for, and assume all risk of, damage, injury, or loss to person or property, arising from or relating to participation in BBNC sponsored activities. I/We release and discharge the BBNC and its officers, directors, members and agents from any claim, damage or cost which I/We may ever have arising from or relating to participation in the BBNC. This agreement shall not be subject to any claim of mistake of fact, and regardless of the adequacy of the consideration, this agreement is intended to avoid future litigation and to be final and complete. Our full Liability Waiver can be accessed on our website.
Membership Rules*

I/We have read and understand the above statement regarding the risks of being a member.

Blacksburg Newcomers Group Membership Payment*

BNCC MembershipAnnual Dues $30 + Service Charge

$31.25

Total

$0.00

Credit Card

Should be Empty:

2025-2026

Blacksburg Newcomers Club Membership Form

A Social Club Focusing on Building Friendships & Community

Interest Groups:

DISCLOSURE:

Membership Rules

Credit Card