Membership Application

Membership Information
Today's Date

MonthDayYear
Date
New MemberUpdating information
Individual $20Family $25Student $5
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodeNumber
Email
example@example.com
Family member names

Name NameName
YesLater
CashCheckDigital Payment (Zelle) to hcsstreasurer@gmail.com
* Membership information is for internal HCSS use only. Please advise us if there is any personal information that you do NOT want visible to other club members, such as your phone number, address or email.

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Membership Information