Membership Application for Barrett Civic League

Membership Application for Barrett Civic League

Please fill out the form below to become a member of the Barrett Civic League. Choose your membership level and provide your details.
Select Membership Level*

[object Object],[object Object],[object Object],[object Object]
Organization name
Name (Delegate 1)*

TItleFirst NameMiddle NameLast NameSuffix
Birthday (Delegate 1)*

MonthDayYear
Date
Phone Number (Delegate 1)*
Please enter a valid phone number.
Email Address (Delegate 1)*
example@example.com
Name (Delegate 2)*

TItleFirst NameMiddle NameLast NameSuffix
Birthday (Delegate 2)*

MonthDayYear
Date
Phone Number ((Delegate 2)*
Please enter a valid phone number.
Email Address (Delegate 2)*
example@example.com
Name*

TItleFirst NameMiddle NameLast NameSuffix
Birthday*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Name (Member 2)*

TItleFirst NameMiddle NameLast NameSuffix
Birthday (Member 2)*

MonthDayYear
Date
Phone Number (Member 2)*
Please enter a valid phone number.
Email Address (Member 2)*
example@example.com
Mailing Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code

Committee Participation Requirement

To strengthen engagement and ensure every member contributes to the growth of Barrett, all members are required to select:

One (1) Primary Committee – Your main area of active service

One (1) Secondary Committee – A support role during major initiatives and events

Members are expected to actively participate in their Primary Committee and provide assistance to their Secondary Committee when called upon for League-wide efforts.
Primary Committee – Your main area of active service*

Community Development Committee(Neighborhood improvement, safety coordination, beautification projects, infrastructure advocacy)Public Relations Committee (Media, communications, membership outreach, volunteer coordination)Social & Events Committee(Event planning, Homecoming, community gatherings, fundraising events)Finance & Budget Committee(Budget planning, fundraising strategy, financial oversight)
Secondary Committee – A support role during major initiatives and events*

Community Development Committee(Neighborhood improvement, safety coordination, beautification projects, infrastructure advocacy)Public Relations Committee (Media, communications, membership outreach, volunteer coordination)Social & Events Committee(Event planning, Homecoming, community gatherings, fundraising events)Finance & Budget Committee(Budget planning, fundraising strategy, financial oversight)