JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
WMRC Membership Application
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Membership Year
*
2023
Required
Membership Level?
*
Individual Member $5.00
Family Membership $10 (includes parent(s) and all minor children)
Required
Status: Check one
*
Renewal
New Member
Required
Full Name:
*
Your answer
If a family membership,
List Full Names & Dates of Birth
Your answer
Mailing Address:
*
Must Include Street or PO
Your answer
Town
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone:
*
Your answer
By checking the "I AGREE" box below, I hereby agree to abide by the By-Laws as well as any rules and procedures that may be implemented during the current membership year by the club.
*
I AGREE
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
