Online Membership application | PalomarSmoothDancers

Palomar Chapter of National Smooth Dancers
Application for Membership

First Name (1)

First Name (2)

Email (1)

Phone

Last Name (1)

Last Name (2)

Email 2

Alternate Phone

Address

Birthday (1)

Birthday (2)

Anniversary

Tell us about your dance experience

What/who brought you to Palmar Smooth Dancers?

Is there anything else you would like to share with us?

Have you read the "Welcome to Palomar Smooth Dancers" brochure?

Would you be willing to attend a 20 minute orientation to the club before a lesson or other event?

Will you attend regular monthly meetings (1st Tuesday of each month)? If not, please explain:

If called upon, are you willing to assist in some of our Chapter's activities (i.e., decorating, snacks for meetings, check-in table, etc.)?

By printing your name(s) below, I/we acknowledge that the National Smooth Dancers, Inc., (including all chapters) will not be held responsible for
loss or theft of articles, nor be held liable for injuries sustained by persons dancing and/or competing at any chapter or National Smooth
Dancers events. I/we hereby irrevocably give and grant to the National Smooth Dancers, Inc., (including all chapters) the right to
produce, use, refer to, or reproduce any still photographs taken and video/audio recordings made at any and all chapter or National
Smooth Dancers events

Please acknowledge here:

Application fee: # of people __ X $20 per person Dues: # of people __ X $50 per person

Please give cash/check payable to Palomar Smooth Dancers for the related fees to Alicia Sanchez, Membership Chair, or Mail to: Alicia Sanchez, 522 Fortuna Avenue, Vista, CA 92084. If you have further questions, you may call Alicia at 760- 519- 7247.

Thanks for submitting!

Palomar Chapter of National Smooth Dancers Application for Membership

Palomar Chapter of National Smooth Dancers
Application for Membership