Member Information
Member Number:
Member Name (Legal):
Last Name:
Preferred or nickname:
Birth Date:
Profession:
Business Name:
Address:
City:
State:
Zip:
E-mail Address:
I participate in the following organizations:
Charities & Professional
Alumni
Community & Religious
Are you interested in serving on or participating in the following:
Membership Committee
Wine Club
Book Club
Golf Committee
Social Committee
Tennis Committee
Singles Club
Networking Club
Online Member Directory
Include my E-mail in the On-Line Member Directory
Include my E-mail and Phone Number in the On-Line Directory
Do Not include any information about me in the On-Line Directory
Spouse Information
Spouse Name (legal):
Last Name:
Preferred or nickname:
Birth Date:
Profession:
Business Name:
Address:
City:
State:
Zip:
E-mail Address:
I participate in the following organizations:
Charities & Professional
Alumni
Community & Religious
Are you interested in serving on any committees?
Membership Committee
Wine Club
Book Club
Golf Committee
Social Committee
Tennis Committee
Singles Club
Networking Club
Family Information
Wedding Anniversary:
Dependant's Name
(First & Last Name)
Birthday
(MM-DD-YYYY):
Interested In:
Golf, Tennis, Arts & Crafts, Other
Do you have grandchildren who would enjoy Club events?
Yes
No
What aspects of the Club are most important to you?
Interests
Please let us know your interests to assist with future Club activities.
Member
Spouse
Arts/Theater
Art Galleries
Antiques
Ballet
Opera
Symphony
Theater/Plays
Rock/Pop Concerts
Member
Spouse
Computer Technology
Computer Classes
Software Classes
Computer Club
Member
Spouse
Hobbies
Automobile/Classic
Old Movies
Photography
Target Shooting
Writing
Books/Reading
Shopping
Dancing
Dance Lessons
Poetry
Dog Shows
Scrapbooking
Member
Spouse
Outdoor Hobbies
Camping
Extreme Sports
Fishing
Hunting
Rock Climbing
Member
Spouse
Home & Garden
Crafts
Gardening
Member
Spouse
Private Party Entertaining
Executive Meetings
Corporate Events
Golf Outings
Member
Spouse
Tennis
Ladies
Men's
Mixed Doubles
Member
Spouse
Sports Spectator
Baseball/Minute Maid
Basketball/Toyota
Football/Reliant
Suites for Above Sports
Golf
Hockey
Horse Racing
Polo
Soccer
Tennis
Bicycling
Hiking
Member
Spouse
Water Sports
Swimming
Water Aerobics
Member
Spouse
Golf
Lessons
Handicap
Tournaments
Outing Planning
Member
Spouse
Health & Fitness
Aerobics
Karate
Personal Training
Pilates
Running
Walking
Weight Training
Yoga
Member
Spouse
Relaxation & Wellness
Massage
Nutrition
Member
Spouse
Theme Events
Independence Day
Christmas Events
Hanukkah Events
Easter
Halloween
Mother's Day
Father's Day
New Year's Eve
New Year's Day
Octoberfest
St. Patrick's Day
Thanksgiving
Veteran's Day
Member
Spouse
Gourmet Food & Wine
Wine Dinners
Wine Tasting/Seminar
Chocolate
Cooking Classes
Cigar Dinners
Micro-Brewery
Gourmet Food
Spirits/Cordials
Member
Spouse
Travel
Adventure Travel
Golf
Cruise
Spa
Tennis
Weekend Getaways
Africa
Australia/New Zealand
Europe
Island Travel
Mexico
USA/Canada
Orient
Member
Spouse
Games
Bridge
Bunko
Card Games
Chess
Poker
Mahjongg
Member
Spouse
Forums/Seminars
Fashion Shows
Healthy Living
Investing/Stocks
Political
Real Estate
Retirement
Self Awareness
Business
Member
Spouse
Associations
WGA
Ladies' 9 Hole /18 Hole
MGA
Couples Golf Association
Senior Golf Association
Junior Golf
Green Angel Social 4-Hole Golf
Tennis
Child
Teen
Children's Activities
Dances
Mother/Daughter/Son Dance
Father/Daughter Dance
Cotillion
Etiquette
Movie Nights
Cooking Classes
Pool Activities
Crafts
Snowboarding/Skiing
Surfing
Swim Lessons
Golf
Tennis
Kid's Club
Kid's Event Planning
Kid's & Summer Camps
Jr. Board of Governors
Teen Nights
Junior Lifeguards
Camping
Babysitting Classes
Other Sports
Please tell us any other information you might have regarding other special interests.