2025 Sustaining Partnership Form

Sustaining Partnership Form
Are you a new, lapsed, or returning member?*

New, this is our household's first year of JCA membershipLapsed, we are returning after a lapse in membershipReturning, our household paid dues in 2024 and we are returning without a lapse in membership
Membership Type

Household Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Would you like to update the information for other adults or children in your household (this is not necessary for most existing members, but please update us if any of your household members or contact information has changed in the last year). Please note that if you are not getting a birthday postcard and would like to receive one, check "yes" and provide your date of birth.

Yes, I would like to update informationNo, everything is the same as last year
Adults in Household: please list all of the adults who are part of your household. Please include: First name, last name, date of birth, email, cell phone, mailing address if different than the one listed above. (Enter N/A if no additional adults in household). To receive a birthday postcard we need your full date of birth (MM/DD/YYYY).
Children in Household: please list all of the children who are part of your household. Please include: First name, last name, and date of birth. Please indicate which adult's phone/email/mailing address represents the primary contact information for each child. (Enter N/A if no children in household)