Club Membership Registration Form

Blacksburg Newcomers Club Membership Form

Membership is open to all residents of Floyd, the City of Radford, Giles, Montgomery and Pulaski counties (the NRV). Dues for our program year are $30.00/per family. All dues may be paid by credit card on Square, by cash or a check made payable to: Blacksburg Newcomers’ Club, Inc. P.O. Box 11463, Blacksburg, VA 24062 Attn: Membership. *Required
Are you new or renewing?*

NewRenewal
Name*

First NameLast Name
E-mail*
Spouse/Partner name

First NameLast Name
Spouse/Partner E-mail address (only to receive weekly eBlast/Newsletter)
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
Emergency Contact: Name

First NameLast Name
Emergency Contact: Phone

Area CodePhone Number
Where did you hear about us?*

WebsearchFacebookA Friend or colleaugeNew River PublicationOther
Interest Groups: There is no obligation to join an Interest Group.

For current members renewing their membership, please include Interest Groups that you are currently a member of when selecting.
Available Interest Groups:*

Book Club: MorningBook Club: AfternoonBook Club: EveningBreakfast BunchCircle Supper GroupDrafted (Beer)Happy HikersLadies Dinner and DrinksLunch BunchMonday Mah JonggNeedleworksPaper Crafting/ScrapbookingWalking GroupWine GroupWriters GroupVolunteer in the CommunityNone
Please check if you would like to volunteer with following committees*

HospitalityCommunity OutreachMembershipHistorianInterest GroupsNone
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.

BBNC Membership Dues

BNCC MembershipAnnual Dues $30 + Service Charge

$31.25

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Should be Empty:

Blacksburg Newcomers Club Membership Form

Interest Groups: There is no obligation to join an Interest Group.

DISCLOSURE:

Membership Rules

Payment Methods