ANNC Membership Form
Email address *
Membership Options *
Name: *
Your answer
Last Name *
Your answer
Home Address: *
Your answer
Mobile Number:
Your answer
Home Phone Number:
Your answer
Spouse’s first name (if applicable)
Your answer
Spouse’s last name
Your answer
Child #1 name:
Your answer
Child #1 birthday:
(Month/Day/Year)
Your answer
Child #2 name:
Your answer
Child #2 birthday:
(Month/Day/Year)
Your answer
Child #3 name:
Your answer
Child #3 birthday:
(Month/Day/Year)
Your answer
Child #4 name:
Your answer
Child #4 birthday:
(Month/Day/Year)
Your answer
MEDIA CONSENT – Submission of Membership Form is consent to use photos of you and your family in ANNC publicity. *
DIRECTORY LISTING - Directory is e-mailed to members only (check one box): *
CLUB ACTIVITY INTEREST SURVEY - Please check any activities that you are interested in receiving information (descriptions below):
Activities Descriptions
Helping Hands: Give back to the community by assisting other club members during times of need (birth of a baby, death in family, illness, etc.): provide meals, rides, etc..

Evening Social Events: A cornerstone of ANNC. We hold several evening social events including the annual Holiday Party, Wine Tasting, Pub Nights, Progressive Dinner, and more.

Gourmet Club: Join us for a themed dinner, where everyone contributes a dish.

Men’s Night Out: For the men in the club, join the men of ANNC for fun evening events.

Ladies’ Night Out: The ladies of ANNC head out for a night out in a variety of activities from dinners to exclusive shopping events to new exercise studios (i.e. Pure Barre).

Kids’ Day Out: Join other kids for child-friendly, fun events.

Book Club: Meets monthly to discuss books of all genres, in a relaxed, social atmosphere.

Playgroups: Do you have a child under age 5? We’ll help match you with other families with kids of a similar age entering school the same year as your child, for casual meet ups.

Men’s Basketball: The guys get together weekly for a friendly pickup game at the YMCA (add’l fee)

PLAYGROUP REGISTRATION INFORMATION
To be complete only if you are NOT currently in a playgroup
child's name / age / When are you free to play?
Your answer
child's name / age / When are you free to play?
Your answer
child's name / age / When are you free to play?
Your answer
child's name / age / When are you free to play?
Your answer
Add' info about your children (other children, notes...)
Your answer
ANNC thrives because of our wonderful volunteers. Would you like to be a Playdate Coordinator?
A copy of your responses will be emailed to the address you provided.
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