NCFC app

FULL MEMBERSHIP APPLICATION

I hereby apply for membership in the New Canaan Field Club in accordance with and subject to the conditions outlined in the letter received from the Membership Chair.

I understand that applications are not accepted without an invitation from Membership.

Application Key received from Membership Chairs

*

Full Name of Applicant

*

Nickname if any

Home address

*

Years resided in New Canaan Area*

Home Phone xxx-xxx-xxxx

Applicant's Email Address

*

Applicant's Cell Phone*

Applicant's Date of Birth

*

Applicant's Schools/Colleges*

Applicant's Employer(s)

*

Title(s)*

Applicant's Business Address(es)

Phone(s)

Full Name of Spouse

Nickname if any

Spouse's Email Address

Spouse's Cell Phone

Spouse's Date of Birth

Spouse's Schools/Colleges

Spouse's Employer(s)

Title(s)

Spouse's Business Address(es)

Phone(s)

Child 1 Name

Nickname Boy Girl Date of birth

Child 2 Name

Nickname Boy Girl Date of birth

Child 3 Name

Nickname Boy Girl Date of birth

Child 4 Name

Nickname Boy Girl Date of birth

Child 5 Name

Nickname Boy Girl Date of birth

Child 6 Name

Nickname Boy Girl Date of birth

Present Club Affiliations

Previous Club Affiliations

Probable family uses of NCFC (check all that apply):

Women's Tennis	Men's Tennis	Jr. Tennis	Aquatics	Women's Paddle	Men's Paddle
Jr. Paddle	Social events	Youth (especially Camp)	Private events

Name of Sponsoring Family

*

Phone* Email*

Name of Co-sponsoring Family

*

Phone* Email*

Please list at least 6 NCFC member families on whom the Membership Committee can call for 4 supporting letters. Enter both the email address and the phone number for each.

NOTE: You may not use your sponsor or co-sponsor families for the supporting letters.

Member 1 Name

*

Phone* Email*

Member 2 Name

*

Phone* Email*

Member 3 Name

*

Phone* Email*

Member 4 Name

*

Phone* Email*

Member 5 Name

*

Phone* Email*

Member 6 Name

*

Phone* Email*

Optional: additional potential letter writer

Phone Email

Optional: additional potential letter writer

Phone Email

Other NCFC members you know - 1 per box - (the Membership Committee will not solicit letters from them)

My informal family photo: *

Is attached to this form using upload below (preferred). Click the BROWSE button, then find & click the photo.

Will be emailed to web@nc-fc.com

Upload photo from file on my computer

Initiation Fee Payment Preference

*

Single payment

3 payments over 1 year

Electronic Signature

*

All information contained in this application is correct and complete to the best of my knowledge. Checking this box signifies that I am electronically signing this form.

After you submit this form, you will receive a link to the credit card form to pay your $500 application fee.