Club Membership Application Form

Fill out the form below to apply for the club membership. Please make sure you provide accurate and detailed information.

Questions for Club Membership Application Form

1.

Date of application

The answer should be a date input.
2.

Name

The answer should be a text input.
3.

Gender

The answer should be a single choice:
  1. Male
  2. Female
  3. Other
  4. Prefer not to say
4.

Email

The answer should be a email input.
5.

Phone Number

The answer should be a phone number.
6.

Home Phone

The answer should be a phone number.
7.

Address

The answer should be a text input.
8.

City

The answer should be a text input.
9.

State

The answer should be a text input.
10.

Country

The answer should be a country.
11.

Zipcode

The answer should be a number input.
12.

Date of Birth

The answer should be a date input.
13.

Membership is available to anyone 18 years of age or older

You promise NOT to conduct any fraudulent or business activity or have more than one member account at any time.

The answer should be a multiple choice:
  1. I have read, understood, and accepted the rule for membership.
14.

Where did you hear about us

The answer should be a single choice:
  1. Friends
  2. Google
  3. Blog Post
  4. News Article
15.

Membership Rules

Your membership rules go here

The answer should be a single choice:
  1. I have read, understood, and accepted the rules for membership.
16.

Privacy Policy

Your privacy policy goes here.

The answer should be a single choice:
  1. I have read, understood, and accepted the privacy policy for membership.
17.

Upload Your photo

File needs to be uploaded.
18.

Signature

The answer should be a signature.

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