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Gee Poy Kuo Association Membership Form
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* Indicates required question
What is your English name?
*
Your answer
What is your Chinese name? (Optional)
Your answer
Cell Phone #
Your answer
Email Address
Your answer
Date of Birth
MM
/
DD
/
YYYY
Neighborhood (e.g. Brooklyn, NY)
Your answer
What are some activities you'd like to participate in or lead?
Volunteering
Picnic
Ski Trip
Bowling
Game Night
Broadway Show
Basketball
Other:
Are you interested in a leadership position in the group?
Yes
No
Clear selection
If yes, tell us a little about yourself. What are your interests? What skills do you have, are working to build, or want to develop?
Your answer
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