TNVLC Membership Application
Personal Information
Last Name *
Your answer
First Name *
Your answer
Parent or Supervising Adult if under 18
(Applying as a Junior Member)
Your answer
Email *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Cell Phone Number
Your answer
Home Phone Number
Your answer
Birth Date *
Your answer
LEGO Interest Survey
TNVLC Chapter *
Enter which Chapter of the Tennessee Valley LEGO Club you would like to join.
Please describe your areas of interest:
Your answer
Other comments or questions:
Your answer
Photo Release
This is not required, but is encouraged to facilitate documentation and promotion of club activities and events.
I give permission to Tennessee Valley LEGO Club (TNVLC) to use my photograph or photographic image in official Club business, including: Club Web Sites, Club newsletters and publications, etc. I hereby waive any right that I may have to inspect or approve the finished product and the advertising copy and/or other matter that may be used in connection therewith or the use to which it may be applied. I further release, discharge and agree to save harmless TNVLC and all persons acting under TNVLC's permission or authority from any liability that may occur or be produced in the taking or use of said photograph or photographic image.
If under the age of 19 please indicate status as Minor as defined by the state of Alabama. A separate photo release form is required.
Confirmation
I have read the bylaws of the Tennessee Valley LEGO Club (TNVLC) and by selecting "Yes" indicate I confirm their acceptance and espousal and seek membership in TNVLC. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Tennessee Valley LEGO Club.