Roselawn Membership Registration Form 2026
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Name *
Birthdate
(Required for insurance purposes)
*
MM
/
DD
/
YYYY
Full Address including postal code *
Email Address *
Phone Number (Please indicate cell of landline) *
Emergency contact name *
Emergency contact phone number (must be different then your own) *
Emergency contact relationship to you *
Are you interested in volunteering in any of the below capacities? Our club operates because of our volunteers, please consider helping.  *
Required
Fees *
Required
Payment *
Photo Waiver
I understand that photos and videos may be taken of regular club activities for promotional purposes.
If you choose not to consent it is your responsibility to alert the photographer to not include you in photos during the event and to avoid photos being actively taken. 
*
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