First Name:  
Last Name:  
Spouse First Name:  
Spouse Last Name:  
Address:
Address:
City:
State:
Zip:
Home Phone:  
Cell Phone:
Spouse Cell Phone:
Email:
Spouse email:
Occupation:
Spouse Occupation:
Hobbies:
Other Interests:
Sponsors:

We have read and agree to abide by the Constitution of the Linden Hills Dancing Club and desire to become members for the current year (membership year: July – June)

Place a check here to signify that you agree with the above statement.    

Your application will be pending until we contact the sponsors you listed above or until the club assigns a sponsor.

Please submit a check payable to Linden Hills Dancing Club with the application if possible.

Note:  Annual dues are prorated for new members who join after the first dance of the year.