MEMBERSHIP - 2025-26
Fill out one time for the 2025-26 season. Please make sure email address is accurate, this enables us to get information of our events to you without it bouncing back to us!
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Email *
Participant's Name: *
Participant's Email: *
Participant's cell phone:
Participant's Age: *
Street Address: *
Town *
Emergency contact person/guardian's name:
(must be available during the event).  
 *
Emergency contact person/guardian's phone:
(must be reachable during the event)
Emergency contact person/guardian's email:
By checking the boxes below, you agree to the following:

I will provide my own physical or other support if needed to participate in any Club203 activity.  I understand that no physical or other support will be provided.

I will provide my own transportation to and from Club203 activities.

I hereby give Club203, the Town of Westport, and the Commission on People with Disabilities permission to use photographs and videos of me for promotional purposes.

I have read and will adhere to the Code of Conduct linked here:  Code of Conduct

I have read and agree to be bound by the Club203 Consent, Waiver, and Release Form linked here:  Club 203 Consent, Waiver, and Release Form. Signed waivers can be scanned and emailed to club203ct@gmail.com or dropped off at Westport Human Services or brought to event.
 *
Required
Payment is $20 per event or $100 membership for the year. Free CLUB203 car magnet with membership!

Payments can be make online or by check. The link to pay online will be available on clicking "Submit".

Please make checks payable to The Department of Human Services, 110 Myrtle Ave Westport, CT 06880 (please include Club203 in the memo line).  No-one will be denied for inability to pay for events. Please contact Westport Human Services at 203·341·1050 or humansrv@westportct.gov
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