HVLSA 2022-2023 Membership Form
Please complete this form for your membership and forward the payment to HVLSA 
CHECKS PAYABLE TO: HVLSA
(Mail To: Matt Veronesi, New Windsor Recreation, 244 Union Avenue, New Windsor, NY 12553) 
You may also bring payments to the next meeting and hand directly to our treasurer, Matt Veronesi.
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Untitled Title
Last Name *
First Name *
Position *
Municipality or Company *
Work email *
Cell phone *
Work phone *
Home street address *
Home town *
Home state *
Home zip code *
The year and first-ever job title you held when you began working in the Parks & Recreation field (even if part-time) "I started as a _________ in the year _______" *
What year did you become a full-time Parks & Recreation professional? *
Professional Endorsements/certifications:
Use this space to tell us how HVLSA membership can benefit you most as a professional: *
What is an activity YOU enjoy doing most in the Hudson Valley OR have been hoping to do? (Can be a specific place/location or general activity). *
Membership you are purchasing *
Indicate how you will make payment *
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