NNN Membership Form

Membership is $50 for one year (July - June) or $25 after January 1st for the remainder of the club year (Jan - June).

SPECIAL!!! Join NOW for the 1/2 year price!!!

Fill out this form completely & click the Submit button to pay by Credit Card

Or, print a blank form and mail it with your check.

Please make sure the information is accurate and complete.


New Member Renewal

First NameLast NameOccupationEmail
YOU:
SPOUSE:

Street Address: Zip
Neighborhood: Phone:
Moved From:
How did you hear about NNN?

NAMEBirth DateSchool
CHILDREN:
I'm expecting a baby on: 


We are interested in: (Check all that apply)
Ladies' Events Couples EventsBook Club
Kid's EventsPlaygroups
Community ServiceWalking Club
 
We would like to help out with: (Check all that apply)
Future Board MemberHosting a small club event at our house (less than 20 attendees)Hosting a large club event at our house (more than 20 attendees)
Planning an eventSunshine Meals (baking and/or errands for a member in need)
 
Please select which events you would like to volunteer for
Kids' Halloween PartyTGIF (Adult)Family Picnic
Other Kids' EventsOther Adult Events


I hereby give NNN permission to use pictures taken at NNN events of individuals listed above on the NNN website.

I have read and agree to this disclaimer

Disclaimer of Liability: Our members are notified that their participation in the activities of the Club, including without limitation, the attendance of activities at the home of a member, is at their sole risk and that neither the Club nor any member thereof will in any way be responsible to any member, their children, or their guests, for any damage, loss or injury caused as a result, directly or indirectly, of such participation.

I have read and agree to this disclaimer (required)

ALL NEWSLETTERS WILL BE SENT VIA EMAIL SO BE SURE TO INCLUDE AN EMAIL ADDRESS!