New Member Application

HJWC New Member Application: About You

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This membership application consists of two pages with both required (*) and optional questions. At the end of the application, prior to submission you will be able to pay your membership dues. You will receive details about kick-off activities via email as the Club year approaches! Please contact membership@hjwc.us with any questions!

First name

Last name

Mobile Phone Number

Multi-line address

Country/Region

Address

City

Zip / Postal code

Birthday

Significant Other's Name (If Applicable)

Child / Children's Names & Birthdays (If Applicable)

Do you allow your children to be pictured in HJWC social media postings for events in which your family attends?

Occupation & Company (If Applicable)

Instagram Handle (If Applicable)

Share an individual photo of yourself for use in the 2025-2026 member directory.

Supported files: JPG, PNG, GIF, JPEG; Size Limit: 25 MB